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Pulp-to-palm distance is associated with functional outcome 3 months after combined plating for distal radius fracture
Dep of Hand Surgery, Örebro University Hospital (Örebro).
Örebro University, School of Medical Sciences. Örebro University Hospital. (Dep of Hand Surgery)ORCID iD: 0000-0002-5083-3591
Dep of Hand Surgery, Örebro University Hospital (Örebro).
2019 (English)In: Abstract book IFSHT, Freiburg: Intercongress GmbH , 2019Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

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.

Place, publisher, year, edition, pages
Freiburg: Intercongress GmbH , 2019.
Keywords [en]
Distal Radius Fracture, Functional outcome, Pulp-to-palm Distance
National Category
Orthopaedics
Identifiers
URN: urn:nbn:se:oru:diva-82952ISBN: 978-3-00-063585-4 (print)OAI: oai:DiVA.org:oru-82952DiVA, id: diva2:1438451
Conference
14th IFSSH 11th IFSHT Triennial Congress, Berlin, Germany, June 17-21, 2019.
Available from: 2020-06-10 Created: 2020-06-10 Last updated: 2020-12-01Bibliographically approved

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

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Sagerfors, Marcus

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Citation style
  • apa
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Output format
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  • asciidoc
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