Clinical outcome after plaster cast fixation for 10 days versus 1 month in reduced distal radius fractures: A prospective randomized study

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Fältnamn	Indikatorer	Metadata
000		03628naa a2200373 4500
001		oai:DiVA.org:uu-334618
003		SwePub
008		171124s2018 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-3346182 URI
024	7	a https://doi.org/10.1177/14574969177311842 DOI
040		a (SwePub)uu
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Christersson, Albertu Uppsala universitet,Ortopedi4 aut0 (Swepub:uu)alchr676
245	1 0	a Clinical outcome after plaster cast fixation for 10 days versus 1 month in reduced distal radius fractures :b A prospective randomized study
264		c 2017-09-25
264	1	b SAGE Publications,c 2018
338		a print2 rdacarrier
520		a Introduction: this study aimed to evaluate clinical results after plaster cast fixation for 10 days versus 1 month of moderately displaced and reduced distal radius fractures.Material and Methods: in a prospective randomized study, 109 patients with moderately displaced and conservatively treated distal radius fractures (age ≥50 years) were randomized 10 days after reduction to either removal of the plaster cast and immediate mobilization (active group) or to continued plaster cast fixation for another 3 weeks (control group). Grip strength, pincer strength, range of motion, and pain were assessed at 1, 4, and 12 months after reduction. Clinical outcome was evaluated using three functional assessment scores at 12 months.Results: treatment failed in 3/54 (6%) patients in the active group. one of these patients had the plaster cast reinstituted because of feelings of instability. the fractures in the other two patients displaced severely after mobilization and were therefore treated surgically. for the remaining 51 patients in the active group, the range of wrist motion was slightly better at 1 month compared with the controls, but there were no differences in grip or pincer strength or pain at the 1-month follow-up. there were no differences between the active and control group in any outcome at 4 or 12 months, including functional assessment scores at 12 months.Conclusion: treatment with mobilization 10 days after reduction of moderately displaced distal radius fractures resulted in a few treatment failures compared with none among controls. the only functional benefit for the remaining patients was a small and transient increase in range of motion at the 1-month follow-up. plaster cast removal 10 days after reduction in moderately displaced distal radius fractures is therefore not recommended.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Ortopedi0 (SwePub)302112 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Orthopaedics0 (SwePub)302112 hsv//eng
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kirurgi0 (SwePub)302122 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Surgery0 (SwePub)302122 hsv//eng
653		a Orthopaedics
653		a Ortopedi
700	1	a Larsson, Suneu Uppsala universitet,Ortopedi4 aut0 (Swepub:uu)sunelars
700	1	a Sandén, Bengtu Uppsala universitet,Ortopedi4 aut0 (Swepub:uu)bensande
710	2	a Uppsala universitetb Ortopedi4 org
773	0	t Scandinavian Journal of Surgeryd : SAGE Publicationsg 107:1, s. 82-90q 107:1<82-90x 1457-4969x 1799-7267
856	4	u https://journals.sagepub.com/doi/pdf/10.1177/1457496917731184
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-334618
856	4 8	u https://doi.org/10.1177/1457496917731184

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Av författaren/redakt...: Christersson, Al ...; Larsson, Sune; Sandén, Bengt

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Ortopedi

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kirurgi

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Av lärosätet: Uppsala universitet

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