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Parents Appreciate Streamlined Care From Occupational Therapists for Their Child's Simple Hand Fracture: A
Emily L M Dalton1, Thomas R Cawthorn2,3, Yoga Dhanapala2,3
1Queen's University School of Medicine, Kingston, Ontario, Canada.
Plastic Surgery (Oakville, Ont.)
|February 9, 2026
Summary
Parents reported high satisfaction with the Simple Fracture Protocol (SFP) for pediatric hand fractures. This streamlined care model, involving occupational therapists, met all care expectations and offers a framework for other institutions.
Area of Science:
- Orthopedics
- Pediatric Care
- Hand Surgery
Background:
- Pediatric hand fractures are commonly managed nonoperatively.
- Plastic surgeons often oversee these cases, potentially leading to inefficiencies.
- A need exists for optimized, streamlined care pathways for simple pediatric hand fractures.
Purpose of the Study:
- To evaluate parental satisfaction with the Simple Fracture Protocol (SFP).
- To assess the effectiveness of redirecting pediatric simple fracture patients to occupational therapists.
- To identify key themes influencing parental experience with the SFP.
Main Methods:
- Qualitative study utilizing semistructured telephone interviews with parents.
- 40 parents of children treated under the SFP (March-May 2024) participated.
- Inductive content analysis was performed on transcribed interviews until data saturation.
Main Results:
- High parental satisfaction reported, with 100% meeting care expectations.
- Key themes: clear communication, comfortable environment, expectation setting, and efficient processes.
- 67.5% of patients recovered within the expected 6 weeks; delays linked to early sports return or nonadherence.
Conclusions:
- The Simple Fracture Protocol (SFP) is well-received by parents for pediatric hand fracture care.
- Refining care instructions for athletes in high-contact sports may further improve outcomes.
- The SFP provides a valuable, adaptable model for optimizing pediatric fracture management in other settings.
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