Controlled active exercise after open reduction and internal fixation of hand fractures

Background Hand fractures can be treated using various operative or nonoperative methods. When an operative technique utilizing fixation is performed, early postoperative mobilization has been advocated. We implemented a protocol involving controlled active exercise in the early postoperative period...

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Bibliographic Details
Published in:Archives of plastic surgery 2021, 48(1), , pp.98-106
Main Authors: Jun, Dongkeun, Bae, Jaehyun, Shin, Donghyeok, Choi, Hyungon, Kim, Jeenam, Lee, Myungchul
Format: Article
Language:English
Subjects:
exercise
fracture
hand
Hand/Peripheral Nerve
open reduction
성형외과학
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Summary:Background Hand fractures can be treated using various operative or nonoperative methods. When an operative technique utilizing fixation is performed, early postoperative mobilization has been advocated. We implemented a protocol involving controlled active exercise in the early postoperative period and analyzed the outcomes. Methods Patients who were diagnosed with proximal phalangeal or metacarpal fractures of the second to fifth digits were included (n=37). Minimally invasive open reduction and internal fixation procedures were performed. At 3 weeks postoperatively, controlled active exercise was initiated, with stress applied against the direction of axial loading. The exercise involved pain-free active traction in three positions (supination, neutral, and pronation) between 3 and 5 weeks postoperatively. Postoperative radiographs and range of motion (ROM) in the interphalangeal and metacarpophalangeal joints were analyzed. Results Significant improvements in ROM were found between 6 and 12 weeks for both proximal phalangeal and metacarpal fractures (P
ISSN:2234-6163
2234-6171
DOI:10.5999/aps.2020.01739