Evidence Based Postoperative Treatment of Distal Radius Fractures following Internal Locking Plate Fixation

Klein, S. M. and Prantl, L. and Koller, M. and Vykoukal, J. and Dolderer, J. H. and Graf, S. and Nerlich, M. and Loibl, M. and Geis, S. (2015) Evidence Based Postoperative Treatment of Distal Radius Fractures following Internal Locking Plate Fixation. ACTA CHIRURGIAE ORTHOPAEDICAE ET TRAUMATOLOGIAE CECHOSLOVACA, 82 (1). pp. 33-40. ISSN 0001-5415,

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Abstract

Originally, the treatment method of choice for distal radial fractures (DRF) has been a non-operative approach with six to eight weeks of plaster casting. The introduction of volar locking plate systems at the beginning of the 21st century has pushed trends towards open reduction and internal fixation (ORIF). While the introduction of fixed angle locking plates together with the increasing knowledge on wrist function and related variable outcomes has led to consensus that operative fixation in instable DRF is the treatment method of choice, there is no agreement on a postoperative care of these injuries. The authors will discuss the available evidence for current concepts of postoperative treatment of DRFs following fixed angle fixation under socioeconomical, biomechanical and burden of disease aspects. Further, relevant randomized controlled trials are evaluated with regard to applied postoperative treatment regimes and related risks for complications.

Item Type: Article
Uncontrolled Keywords: DORSALLY DISPLACED FRACTURES; RANDOMIZED CONTROLLED-TRIAL; INSTABILITY FACTORS; EARLY MOBILIZATION; SURGICAL-TREATMENT; COMPRESSION PLATE; COLLES FRACTURES; VOLAR; EPIDEMIOLOGY; PART; distal radius fracture; postoperative treatment; evidence based aftercare; early mobilization; internal fixation; volar locking plate; complications
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Chirurgie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 26 Jul 2019 09:21
Last Modified: 26 Jul 2019 09:21
URI: https://pred.uni-regensburg.de/id/eprint/5991

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