Pulp-to-palm distance is associated with functional outcome 3 months after combined plating for distal radius fracture

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MARC

Niklasson, JohanDep of Hand Surgery, Örebro University Hospital (Örebro) (author)

Pulp-to-palm distance is associated with functional outcome 3 months after combined plating for distal radius fracture

Article/chapterEnglish2019

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Freiburg :Intercongress GmbH,2019
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LIBRIS-ID:oai:DiVA.org:oru-82952
https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-82952URI

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Language:English
Summary in:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:kon swepub-publicationtype

Notes

Clinical issue/s: Objective: The Distal Radius Fracture (DRF) is the most common fracture in adults. After surgical management, extensive rehabilitation programs are common in order to restore function. Some patients are not able to fully move their fingers during the first month after a DRF-surgery (Pulp-to-palm distance=PTP).Clinical reasoning: The purpose of this study was to investigate if increased PTP 4 weeks after DRF surgery is associated with an inferior functional outcome 3 months postoperatively after DRF-surgery.innovative, analytical or new approach: Materials and Methods: This prospective study involved 53 DRF-patients with intra-articular type C fractures according to the AO-classification. All patients were treated with combined volar and dorsal plating. The patients were assessed at 4 weeks and 3 months postoperatively according to PTP-distance, wrist range of motion, grip strength, VAS pain scores and self-assessed hand function. Rehabilitation was the same for all patients with focus on self-training instructions, regardless of individual finger and wrist status.Results: 20 patients had a PTP > 0 cm 4 weeks after surgery. Three months after surgery, all patients had regained full fingermotion. The group with PTP > 0 cm showed significantly inferior range of motion regarding dorsal- and volar flexion, radial- and ulnar deviation as well as grip strength and quick-DASH 3 months after surgery. Inferior outcomes for pro- and supination and PRWE-scores was seen but were not significant. Pain at rest and during activity showed no significant differences between the groups.Contribution to advancing HT practice: Conclusions: Impaired finger motion 4 weeks postoperatively is a significant predictor of functional outcome 3 months postoperatively in surgically treated DRFs. Measuring the PTP-distance can assist the physiotherapist in the allocation of rehabilitation resources.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Ortopedi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Orthopaedics hsv//eng
Distal Radius Fracture
Functional outcome
Pulp-to-palm Distance

Added entries (persons, corporate bodies, meetings, titles ...)

Sagerfors, Marcus,MD, PhD,1977-Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Dep of Hand Surgery(Swepub:oru)msss (author)
Pettersson, KurtDep of Hand Surgery, Örebro University Hospital (Örebro) (author)
Dep of Hand Surgery, Örebro University Hospital (Örebro)Institutionen för medicinska vetenskaper (creator_code:org_t)

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In:Abstract book IFSHTFreiburg : Intercongress GmbH9783000635854

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https://ifssh-ifsht2019.com/wp-content/uploads/2019/09/IFSHT19_Abstract-Book.pdfPulp-to-palm distance is associated with functional outcome 3 months after combined plating for distal radius fracture
https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-82952

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By the author/editor: Niklasson, Johan; Sagerfors, Marcu ...; Pettersson, Kurt

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Orthopaedics

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By the university: Örebro University

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