Telerehabilitation in Distal Radius Fracture

Launched by INSTITUTO MEXICANO DEL SEGURO SOCIAL · Apr 12, 2022

Keywords

ClinConnect Summary

Distal radius fractures (DRF) are among the most frequent fractures worldwide; in the United States, they are the second most common fracture in the upper limb, present an estimated annual incidence of 643,000 and represent 1.5% of consultations for hand and forearm fractures in emergency departments, after fractures of the radius and ulna. Their care implies an increase in the cost of care. In the United Kingdom, the National Health Services estimated an average expenditure of £1375.34 per day/patient, with surgical fixation of the FDR; in the USA, the Medicare system estimated a cost of m...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Men and women older than 15 years
• • With closed distal radius fracture type AO23 A and B
• • Immobilization for six weeks (with or without surgical fixation)
• • With indication by the orthopedic physician to perform rehabilitation
• • Have a cell phone and internet access
• Exclusion Criteria:
• • Patients with distal radius fractures with any of the following radiographic findings: volar tilt \>12°, radial tilt \>23° and radial height \>12 mm
• • Patients with neurological problems, illiteracy, presence of pressure ulcers in the distal third of the forearm or hand that did not heal, users of orally or intravenously administered steroids, patients with pre-existing and concomitant arthritis or osteoarthritis of the wrist, or history of injury. Subjects with less than 80% adherence to treatment were eliminated.