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The carpus: therapist's commentary.

N R Feinberg1

  • 1University Hand Therapy, University Orthopedics, Providence, Rhode Island 02905, USA.

Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists
|June 12, 1999
PubMed
Summary
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This overview details wrist therapy after common surgical procedures, addressing common issues like stiffness and decreased strength. Effective rehabilitation requires understanding the surgery to tailor treatment and patient education for optimal recovery.

Area of Science:

  • Orthopedic surgery
  • Hand therapy
  • Rehabilitation medicine

Background:

  • Wrist surgeries like soft tissue reconstruction and arthrodesis are common.
  • Postoperative complications frequently include stiffness, edema, scarring, and reduced extremity function.

Purpose of the Study:

  • To provide an overview of therapeutic interventions for the wrist following various surgical procedures.
  • To highlight the importance of understanding surgical specifics for effective rehabilitation planning.

Main Methods:

  • Review of common wrist surgical procedures: soft tissue reconstruction, arthroscopic debridement, arthroscopic ganglionectomy, total wrist arthrodesis, and vascularized bone grafts.
  • Identification of prevalent postoperative complications.
  • Discussion of treatment techniques, modalities, patient education, and activity modification.

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Main Results:

  • Common postoperative issues identified across procedures: stiffness, edema, scarring, decreased strength, and reduced extremity use.
  • Emphasizes the necessity for hand therapists to comprehend surgical procedures for effective treatment planning.
  • Reviews various treatment strategies and the critical role of patient engagement.

Conclusions:

  • Successful wrist rehabilitation hinges on a therapist's understanding of the specific surgical procedure and its goals.
  • Comprehensive therapy plans incorporating education and activity modification are vital for managing postoperative complications and restoring function.