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Postoperative treatment of metacarpal fractures-Classical physical therapy compared with a home exercise program

GULKE J; LEOPOLD B; GROZINGER D; DREWS B; PASCHKE S; WACHTER NJ
J HAND THER , 2018, vol. 31, n° 1, p. 20-28
Doc n°: 186466
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.jht.2017.02.005
Descripteurs : KA1 - ETUDES, DD762 - TRAITEMENT DE REEDUCATION / POIGNET-CARPE

PURPOSE OF THE STUDY: Is either a home exercise (HE) program or traditional physical therapy
(PT) more effective in the postoperative management of metacarpal fractures?
METHODS: Sixty patients suffering from nonthumb metacarpal fractures who received
mobilization-stable open reduction and internal fixation were included. All
patients were prospectively randomized into either the PT group or the HE group.
Follow-up examinations at 2, 6 and 12 weeks postoperatively. RESULTS: After 2
weeks, the range of motion (ROM) in both groups was still severely reduced.
Twelve weeks after surgery the ROM improved to 245 degrees (PT) and 256 degrees
(HE). Grip strength after 6 weeks was 68% (PT) and 71% (HE) when compared to the
non-injured hand, improving to 91% (PT) and 93% (HE) after 12 weeks. CONCLUSION:
Study results show that both HE program and traditional PT are effective in the
postoperative management of metacarpal fractures. LEVEL OF EVIDENCE: II.
CI - Copyright (c) 2017 Hanley & Belfus. Published by Elsevier Inc. All rights
reserved.

Langue : ANGLAIS

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