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首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >A retrospective cohort investigation of active range of motion within one week of open reduction and internal fixation of distal radius fractures
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A retrospective cohort investigation of active range of motion within one week of open reduction and internal fixation of distal radius fractures

机译：回顾性队列研究investigation骨远端开放复位内固定术后一周内的活动范围

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摘要

Distal radius fractures stabilized by open reduction internal fixation (ORIF) have become increasingly common. There is currently no consensus on the optimal time to commence range of motion (ROM) exercises post-ORIF. A retrospective cohort review was conducted over a five-year period to compare wrist and forearm range of motion outcomes and number of therapy sessions between patients who commenced active ROM exercises within the first seven days and from day eight onward following ORIF of distal radius fractures. One hundred and twenty-one patient cases were identified. Clinical data, active ROM at initial and discharge therapy assessments, fracture type, surgical approaches, and number of therapy sessions attended were recorded. One hundred and seven (88.4%) cases had complete datasets. The early active ROM group (n = 37) commenced ROM a mean (SD) of 4.27 (1.8) days post-ORIF. The comparator group (n = 70) commenced ROM exercises 24.3 (13.6) days post-ORIF. No significant differences were identified between groups in ROM at initial or discharge assessments, or therapy sessions attended. The results from this study indicate that patients who commenced active ROM exercises an average of 24 days after surgery achieved comparable ROM outcomes with similar number of therapy sessions to those who commenced ROM exercises within the first week. Level of evidence: 2B, retrospective cohort.
机译：通过切开复位内固定（ORIF）稳定的远端radius骨骨折已变得越来越普遍。目前尚无关于在ORIF后开始运动范围（ROM）练习的最佳时间的共识。在五年期间进行了一项回顾性队列研究，以比较distal骨远端骨折ORIF后的前7天内和从第8天起开始进行主动ROM锻炼的患者之间的腕部和前臂运动结果范围以及治疗次数。确定了一百二十一例患者。记录临床数据，初始和出院评估时的活动ROM，骨折类型，手术方法以及参加的治疗次数。一百零七（88.4％）个案例具有完整的数据集。早期活动ROM组（n = 37）在ORIF后开始平均ROM（SD）为4.27（1.8）天。比较组（n = 70）在ORIF后24.3（13.6）天开始进行ROM练习。在初始或出院评估或参加的治疗会议中，ROM组之间没有发现显着差异。这项研究的结果表明，开始进行主动ROM锻炼的患者平均在手术后24天获得了与第一周内开始ROM锻炼的患者相近的ROM结果，并且疗程次数相似。证据水平：2B，回顾性队列。

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