Rate of Improvement following Volar Plate Open Reduction and Internal Fixation of Distal Radius Fractures
Purpose. To determine recovery timeline of unstable distal radius fractures treated by open reduction and internal fixation with a locking volar plate. Methods. Data was collected prospectively on a consecutive series of twenty-seven patients during routine post-operative visits at 2 and 6 weeks, an...
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doaj-131672eb0b324531b2788390ec6ee0a82020-11-24T21:36:26ZengHindawi LimitedAdvances in Orthopedics2090-34722011-01-01201110.4061/2011/565642565642Rate of Improvement following Volar Plate Open Reduction and Internal Fixation of Distal Radius FracturesChris Dillingham0MaryBeth Horodyski1Aimee M. Struk2Thomas Wright3Department of Orthopaedics and Rehabilitation, University of Florida, 3450 Hull Road, Gainesville, FL 32608, USADepartment of Orthopaedics and Rehabilitation, University of Florida, 3450 Hull Road, Gainesville, FL 32608, USADepartment of Orthopaedics and Rehabilitation, University of Florida, 3450 Hull Road, Gainesville, FL 32608, USADepartment of Orthopaedics and Rehabilitation, University of Florida, 3450 Hull Road, Gainesville, FL 32608, USAPurpose. To determine recovery timeline of unstable distal radius fractures treated by open reduction and internal fixation with a locking volar plate. Methods. Data was collected prospectively on a consecutive series of twenty-seven patients during routine post-operative visits at 2 and 6 weeks, and 3, 6, 12 and 24 months. Range of motion measures and grip strength for both wrists were recorded. Results. Greatest gains were made within the first 3 months after surgery. Supination and pronation returned more quickly than flexion or extension, with supination and pronation both at 92% of the uninjured wrist at 3 months. Only flexion improved significantly between 3 and 6 months. All wrist motions showed some improvement until 1 year. Grip strength returned to 94% of the uninjured wrist by 12 months. Conclusions. Range of motion improvement will be greatest between 2 weeks and 3 months, with improvement continuing until 12 months. Grip strength should return to near normal by one year. Function and pain will improve, but not return to normal by the end of 12 months. Clinical Relevance. These results provide the surgeon with information that can be shared with patients on the anticipated timeline for normal recovery of function and strength.http://dx.doi.org/10.4061/2011/565642 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Chris Dillingham MaryBeth Horodyski Aimee M. Struk Thomas Wright |
spellingShingle |
Chris Dillingham MaryBeth Horodyski Aimee M. Struk Thomas Wright Rate of Improvement following Volar Plate Open Reduction and Internal Fixation of Distal Radius Fractures Advances in Orthopedics |
author_facet |
Chris Dillingham MaryBeth Horodyski Aimee M. Struk Thomas Wright |
author_sort |
Chris Dillingham |
title |
Rate of Improvement following Volar Plate Open Reduction and Internal Fixation of Distal Radius Fractures |
title_short |
Rate of Improvement following Volar Plate Open Reduction and Internal Fixation of Distal Radius Fractures |
title_full |
Rate of Improvement following Volar Plate Open Reduction and Internal Fixation of Distal Radius Fractures |
title_fullStr |
Rate of Improvement following Volar Plate Open Reduction and Internal Fixation of Distal Radius Fractures |
title_full_unstemmed |
Rate of Improvement following Volar Plate Open Reduction and Internal Fixation of Distal Radius Fractures |
title_sort |
rate of improvement following volar plate open reduction and internal fixation of distal radius fractures |
publisher |
Hindawi Limited |
series |
Advances in Orthopedics |
issn |
2090-3472 |
publishDate |
2011-01-01 |
description |
Purpose. To determine recovery timeline of unstable distal radius fractures treated by open reduction and internal fixation with a locking volar plate. Methods. Data was collected prospectively on a consecutive series of twenty-seven patients during routine post-operative visits at 2 and 6 weeks, and 3, 6, 12 and 24 months. Range of motion measures and grip strength for both wrists were recorded. Results. Greatest gains were made within the first 3 months after surgery. Supination and pronation returned more quickly than flexion or extension, with supination and pronation both at 92% of the uninjured wrist at 3 months. Only flexion improved significantly between 3 and 6 months. All wrist motions showed some improvement until 1 year. Grip strength returned to 94% of the uninjured wrist by 12 months. Conclusions. Range of motion improvement will be greatest between 2 weeks and 3 months, with improvement continuing until 12 months. Grip strength should return to near normal by one year. Function and pain will improve, but not return to normal by the end of 12 months. Clinical Relevance. These results provide the surgeon with information that can be shared with patients on the anticipated timeline for normal recovery of function and strength. |
url |
http://dx.doi.org/10.4061/2011/565642 |
work_keys_str_mv |
AT chrisdillingham rateofimprovementfollowingvolarplateopenreductionandinternalfixationofdistalradiusfractures AT marybethhorodyski rateofimprovementfollowingvolarplateopenreductionandinternalfixationofdistalradiusfractures AT aimeemstruk rateofimprovementfollowingvolarplateopenreductionandinternalfixationofdistalradiusfractures AT thomaswright rateofimprovementfollowingvolarplateopenreductionandinternalfixationofdistalradiusfractures |
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