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    Distal radius fractures: What are the effects of ulnar styloid fracture and face-toface rehabilitation on the functional outcome?
    (Turkish Assoc Orthopaedics Traumatology, 2023) Ozben, Hakan; Uludag, Serkan; Ataker, Yaprak; Ece, Sibel Comert; Gudemez, Eftal
    Objective: This study aimed to investigate the effects of the accompanying ulnar styloid fracture and 2 different postoperative rehabilitation protocols on the final outcomes following surgical treatment of distal radius fractures. Methods: In this retrospective study, 47 patients (11 male, 35 female; mean age = 52.6 years, age range = 24-85) who underwent plate fixat ion for distal radius fractures were divided into 4 groups based on the presence of an ulnar styloid fracture and type of rehabilitation. To evaluate clinical outcomes, wrist range of motion (ROM), grip strength, lateral pinch strength, disabilities of the arm, shoulder, and hand (DASH) questionnaire scores and visual analog scale (VAS) scores were obtained at the final follow-up. The rehabilitation exercises of the patients in groups 1 and 2 were carried out in the physical therapy room by the hand therapist during the postoperative 2 months. Patients in groups 3 and 4 were supplied with videos of the exercises of each phase and instructed to carry out those exercises at home routinely. Results: Patients who received home rehabilitation programs demonstrated greater grip strength loss. Patients without accompanying ulnar styloid fractures had better DASH and VAS scores. Final wrist ROM and the duration for return to preinjury activity level did not differ among groups. Conclusion: This study has suggested that accompanying ulnar styloid fractures may worsen the functional outcomes after plate fixation of distal radius fractures. Home -based programs may provide patients with adequate overall wrist function with certain drawbacks compared to rehabilitation under direct supervision. Level of Evidence: Level III, Therapeutic Study.
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    Rehabilitation of Patients With Osteoporotic Fractures
    (Elsevier Science Inc, 2020) Erhan, Belgin; Ataker, Yaprak
    Osteoporosis is a silent, asymptomatic disease until a fragility fracture is sustained. Fractures greatly affect the physical functioning and health-related quality of life and are associated with increased mortality and mor-bidity rates. Furthermore, once a fragility fracture occurs, the patient is more susceptible to sustain further fractures. Repeated falls are the main causes of fractures in patients with osteoporosis. The management of osteoporosis postfracture is a combination of medical treatment, nutritional interventions, and rehabilitation in order to improve activities of daily living to prevent falls and increase safety while reducing the loss of bone mass. In this article the principles of fracture prevention and physical rehabilitation of patients with osteoporosis postvertebral and hip fragility fractures will be discussed, as well as the rehabilitation management to prevent further falls and fractures.