scholarly journals Quantification of Wrist Functional Variables, in Female Patients Over 60 Years of Age With a Distal Radius Fracture, at Weeks 6 and 12 Following Surgical Management With a Locked Volar Plate and After the Use of a Standardized Rehabilitation Program

Hand ◽  
2016 ◽  
Vol 11 (1_suppl) ◽  
pp. 134S-135S
Author(s):  
Alejandra Aguilera ◽  
Marcela Antúnez ◽  
Gabriel Carrasco
2013 ◽  
Vol 17 (1) ◽  
pp. 41-45 ◽  
Author(s):  
Luigi Tarallo ◽  
Raffaele Mugnai ◽  
Roberto Adani ◽  
Fabio Catani

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Pengbo Luo ◽  
Jinjie Lou ◽  
Shengwu Yang

Introduction. Internal fixation with volar locking plate (VLP) was widely adopted as a first-line choice in treatment of distal radius fracture (DRF). Methods. Total 315 patients with distal radius fracture receiving VLP fixation were included for analysis in this study. The rehabilitation protocol was started immediately after surgery for all patients. During the initial two weeks after surgery, 149 patients received 200 mg celecoxib twice per day, 89 received buprenorphine transdermal patch at 5 μg/h, and 77 received 13 mg codeine plus 200 mg ibuprofen twice per day for pain management. Visual analog scale (VAS) scores of pain at rest, daily activity, and rehabilitative exercise were measured, respectively, every week according to the experiences of the past week in the initial six weeks after surgery. Functional outcomes including range of motion (ROM) for extension, flexion, pronation, supination, ulnar and radial abduction, the disabilities of arm, shoulder, and hand (DASH) score and the validated patient rated wrist evaluation (PRWE), and grip strength were collected at one, three, and six months after surgery. Results. We showed that patients receiving transdermal buprenorphine and codeine/ibuprofen had decreased VAS scores during rehabilitative exercise, better compliance to the rehabilitation program, and thus faster functional recovery. Conclusions. We recommend transdermal buprenorphine or codeine/ibuprofen for pain management during rehabilitation after distal radius fracture stabilized with VLP.


Hand Surgery ◽  
2008 ◽  
Vol 13 (01) ◽  
pp. 27-29 ◽  
Author(s):  
Hiroshi Yamazaki ◽  
Yasunori Hattori ◽  
Kazuteru Doi

We report a rare occurrence of attritional rupture of flexor tendons caused by protrusion of the screw head of the volar radius plate. The cause of the protrusion was plate placement on the prominent distal volar lip of the radius and secondary loss of the original reduction due to using a non-locking osteosynthesis system for the treatment of displaced intra-articular fracture of the distal radius.


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