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Sökning: WFRF:(Ydreborg Karin) > (2015)

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1.
  • Rubensson, Carin, et al. (författare)
  • Flexor tendon repair after rupture caused by volar plate fixation of the distal radius
  • 2015
  • Ingår i: Journal of Plastic Surgery and Hand Surgery. - : Informa Healthcare. - 2000-656X .- 2000-6764. ; 49:2, s. 112-115
  • Tidskriftsartikel (refereegranskat)abstract
    • Volar plate fixation of unstable fractures of the distal radius is preferred by a majority of surgeons today. One known complication is the rupture of flexor tendons. The aim of this paper is to present flexor tendon ruptures after volar plate fixation analysing the clinical outcome after tendon surgery, aetiology, and methods of prevention. Seventeen consecutive ruptures in 14 patients were included. The incidence was 1.4%. Three patients declined tendon surgery. Eleven patients were treated with a free tendon graft. Only two patients showed excellent results regarding mobility in the thumb and/or fingers. Analysis of radiographs demonstrated sub-optimal placement of plate or screws in all cases. Rupture of a flexor tendon is a serious complication where the functional outcome after surgical reconstruction is uncertain. Early removal of the plate when the placement is sub-optimal or when local volar tenderness appears would probably prevent many ruptures.
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2.
  • Ydreborg, Karin, et al. (författare)
  • Hand function, experienced pain, and disability after distal radius fracture.
  • 2015
  • Ingår i: The American journal of occupational therapy. - : American Occupational Therapy Association. - 0272-9490 .- 1943-7676. ; 69:1
  • Tidskriftsartikel (refereegranskat)abstract
    • Objective: We sought to explore differences in range of motion (ROM), grip strength, and self-reported pain and disability over time after plate-fixation surgery for distal radius fracture.less thanbr /greater thanMethod: We used a prospective repeated-measures research design with four measure points for a study sample of 101 patients. The Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire; the Global Assessment Scale; and the Canadian Occupational Performance Measure were used to assess ROM, grip strength, and pain level.less thanbr /greater thanResults: ROM and grip strength improved over time. Pain improved until 6 mo after surgery but greatly deteriorated from 6 to 24 mo. Concurrently, overall discomfort (global index) from the wrist extensively improved from 12 to 24 mo. DASH score decreased 20.1 points from 6 wk to 6 mo and remained stable until 24 mo.less thanbr /greater thanConclusion: Even when ROM and grip strength were almost fully regained at 12 mo, pain at rest and during activity was still an issue at 24 mo.less thanbr /greater than (Copyright © 2015 by the American Occupational Therapy Association, Inc.)
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