Acta Chir Orthop Traumatol Cech. 2015; 82(1):33-40 | DOI: 10.55095/achot2015/004

Evidence Based Postoperative Treatment of Distal Radius Fractures following Internal Locking Plate FixationIn-service-training

S. M. KLEIN1,*, L. PRANTL1, M. KOLLER2, J. VYKOUKAL3, J. H. DOLDERER1, S. GRAF1, M. NERLICH4, M. LOIBL4, S. GEIS1
1 Center of Plastic-, Hand- and Reconstructive Surgery, University Hospital Regensburg, Germany
2 Center for Clinical Studies, University Hospital Regensburg, Germany
3 Translational Molecular Pathology, University of Texas, MD Anderson Cancer Center, Houston, Texas, U.S.A.
4 Department of Trauma Surgery, University Hospital Regensburg, Germany

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.

Keywords: distal radius fracture, postoperative treatment, evidence based aftercare, early mobilization, internal fixation, volar locking plate, complications

Published: February 1, 2015  Show citation

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KLEIN SM, PRANTL L, KOLLER M, VYKOUKAL J, DOLDERER JH, GRAF S, et al.. Evidence Based Postoperative Treatment of Distal Radius Fractures following Internal Locking Plate Fixation. Acta Chir Orthop Traumatol Cech. 2015;82(1):33-40. doi: 10.55095/achot2015/004. PubMed PMID: 25748659.
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