Distal radius fractures are common injuries treated in a multitude of ways. Distal radius fracture and repair rehab protocol may 2017. Want to learn how to manage a distal radius fracture from start to. In what position should a fractured distal radius be immobilised.
Begin gentle wrist arom at 4 weeks continue finger, elbow and shoulder rom continue forearm rotation rom utilize scar management techniques. The therapy protocol for regaining finger motion is tiered and instituted immediately in all patients box 2. Early management of distal radius fracture with orif. Patient is in postop splint patient to elevate the arm and do finger exercises frequently with the goal of full digit mobility within the week. Distal radius fracture orif rehabilitation protocol. The biochemical and biomechanical events that occur during fracture healing provide the underlying foundation for the rehabilitation program following a distal radius fracture. There is no increased risk of infection when converting ef to orif in the treatment of complex distal radius fractures when conversion. Distal radius open reduction and internal fixation. Please fax initial evaluation and progress notes to 815. Use of the tpin in the treatment of extraarticular distal radius fractures.
Treatment can involve both nonoperative and operative. Do the wristforearmthumb exercises 3xday out of your splint. Guideline treatment of distal radius fractures in adults magic app. Antonio abramo, philippe kopylov, magnus tagil evaluation of a treatment protocol in distal radius. Tendon gliding exercises and passive finger motion with the wrist neutral are started immediately, since there are no biomechanical concerns regarding phalangeal stability. You should move straighten and bend your fingers at least 10 times per day within your comfort to decrease swelling and prevent. Evaluation of a treatment protocol in distal radius fractures.
Dr hove also took the initiative for a book on wrist surgery published. Using an irb approved protocol, medical records over nine years were queried to identify. Identify elements of medical diagnosis and treatment of distal radius fractures. The finger exercises can be done in the splint, every 2 hours. Mammoth orthopedic institute 85 sierra park road mammoth lakes, ca 93546 760. The scope of this guideline is specifically limited to acute distal radius fractures. Distal radius fracture an overview sciencedirect topics. Distal radius fracture orif rehabilitation protocol kelly holtkamp, m.
An evidenced based approach to intervention with bonus printable. Distal radius wrist fracture surgery home program phase 2 exercises david gesensway, md you will start these exercises 57 days after surgery, at your first hand therapy visit. Domain of ot, occupational therapy process and professional issues. Distal radius orif therapist protocol david gesensway, md week 1. Distal radius wrist fracture surgery home program phase 2. Fractures and injuries of the distal radius and carpus, 2009. Fashion removable shortarm volar wrist splint in neutral to be used at all times except for therapy and motion exercises. Fabricate custom circumferential orfit wrist hand orthosis 23 of the way up the forearm, nice. Colles fracture post operative rehabilitation protocol physiopedia. The treatment of distal radius fractures summary of recommendations the following is a summary of the recommendations in the aaos clinical practice guideline, the treatment of distal radius fractures.
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