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Complications of immobilization

T Skirven1, J Trope

  • 1Philadelphia Hand Center, Pennsylvania.

Hand Clinics
|February 1, 1994
PubMed
Summary

Immobilization after hand, wrist, and elbow surgery can cause challenging complications. This article reviews common issues, prevention strategies, and treatments for post-surgical immobilization.

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Area of Science:

  • Orthopedic Surgery
  • Rehabilitation Medicine
  • Sports Medicine

Background:

  • Immobilization is a frequent necessity following surgical interventions of the hand, wrist, and elbow.
  • Complications arising from immobilization often pose greater challenges to patient recovery than the primary injury itself.

Purpose of the Study:

  • To identify and discuss common complications associated with immobilization of the upper extremities.
  • To outline strategies for the prevention of these immobilization-related complications.
  • To detail treatment approaches for managing complications after surgical procedures.

Main Methods:

  • Literature review of common surgical procedures requiring immobilization.
  • Analysis of reported complications and their incidence.
  • Synthesis of established prevention and treatment protocols.

Main Results:

  • Key complications include joint stiffness, muscle atrophy, nerve issues, and complex regional pain syndrome.
  • Preventive measures involve early mobilization protocols, therapeutic exercises, and patient education.
  • Treatment focuses on physical therapy, pain management, and, in some cases, further surgical intervention.

Conclusions:

  • Proactive management of immobilization is crucial for successful patient rehabilitation.
  • Understanding and addressing potential complications can significantly improve outcomes after hand, wrist, and elbow surgery.
  • A multidisciplinary approach to prevention and treatment optimizes recovery.

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