The Value of Early Mobilization and Physiotherapy Following Wrist Fractures Treated by Volar Plating

Launched by UNIVERSITY HOSPITAL, AKERSHUS · Dec 13, 2013

Keywords

ClinConnect Summary

The study will focus on patients treated with volar locked plating following an extraarticular distal radius fracture.

In a prospective manner the investigators intend to analyze hand function, x-ray and other parameters in order to investigate whether early mobilization and a targeted program of physiotherapy postoperatively leads to a better functional result and earlier return to a normal activity level. The investigators analysis will also focus on the safety of early mobilization with regards to possible detrimental effects on the osteosynthesis, bony union, associated soft-tissue inj...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• Position prior to primary reduction:
• • Dorsal tilt \> 25°
• • Radial shortening\> 6 mm
• • Radial inclination reduced by more than 15°
• • Radiocarpal malalignment \> 7 mm
• • Dorsal /volar metaphyseal comminution
• • Volar displacement of the distal fragment(= Smith's fracture)
• Position after initial reduction:
• • Dorsal tilt \> 5°
• • Radial shortening \> 4 mm
• • Radial inclination reduced by more than 10°
• • Radiocarpal malalignment \> 4 mm
• Exclusion Criteria:
• • 1. Gustilo-Anderson type III open fractures
• • 2. Previous distal radius/ulna-fracture and/or disabling hand injury of the same extremity
• • 3. Previous distal radius fracture or other disabling injury to the contralateral side
• • 4. Dementia or other psychiatric illness which affect compliance
• • 5. Congenital anomaly
• • 6. Bilateral radius fracture
• • 7. Concurrent fractures to the upper or lower extremities or other illness which affect movement of the extremities
• • 8. Systemic joint disease such as rheumatoid arthritis
• • 9. Patients who do not speak Norwegian
• • 10. Pathological fracture other than osteoporotic fracture
• • 11. Congenital bone disease (for example osteogenesis imperfecta)
• • 12. Age below 18 and above 70
• • 13. Patients not belonging to Akershus University Hospital