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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...

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Development of a Novel Internal Fixation Model for Rat Radial Fractures: Fracture Healing Assessment and Dorsal Root Ganglion Isolation
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Dynamic splints do not reduce contracture following distal radial fracture: a randomised controlled trial.

Raymond A Jongs1, Lisa A Harvey, Tom Gwinn

  • 1Physiotherapy Department, The University of Sydney, Australia.

Journal of Physiotherapy
|August 14, 2012
PubMed
Summary

Dynamic splints did not significantly improve wrist extension or patient-reported outcomes after distal radial fracture. This study suggests that dynamic splints are not beneficial for treating wrist contractures following this common injury.

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Area of Science:

  • Orthopedics
  • Rehabilitation Medicine
  • Physical Therapy

Background:

  • Distal radial fractures are common injuries that can lead to wrist contractures.
  • Contractures can impair hand and wrist function.
  • Dynamic splints are sometimes used to improve range of motion after fractures.

Purpose of the Study:

  • To investigate the effectiveness of dynamic splints in reducing contracture following distal radial fracture.
  • To assess the impact of dynamic splints on passive and active wrist extension, as well as patient-reported outcomes.

Main Methods:

  • A randomized controlled trial involving 40 outpatients with distal radial fracture-related contracture.
  • Participants received either routine care or routine care plus a dynamic splint worn during the day.
  • Outcomes including passive and active wrist extension and patient-reported evaluations were measured at baseline, 8 weeks, and 12 weeks.

Main Results:

  • No significant differences were found between the dynamic splint group and the control group in passive wrist extension or patient-reported outcomes at 8 or 12 weeks.
  • No significant improvements were observed in active wrist extension, flexion, or deviation measures for the dynamic splint group.
  • Secondary outcomes, including performance and satisfaction measures from the Canadian Occupational Performance Measure, also showed no significant between-group differences.

Conclusions:

  • Dynamic splints do not appear to offer therapeutic benefits for passive wrist extension or patient-reported outcomes in distal radial fracture contractures.
  • The study found no evidence that dynamic splints improve active range of motion in flexion or deviation.
  • The continued use of dynamic splints for this condition is not supported by the study's findings.