Distal radius fractures: What are the effects of ulnar styloid fracture and face-toface rehabilitation on the functional outcome?

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dc.contributor.authorOzben, Hakan
dc.contributor.authorUludag, Serkan
dc.contributor.authorAtaker, Yaprak
dc.contributor.authorEce, Sibel Comert
dc.contributor.authorGudemez, Eftal
dc.date.accessioned2025-03-26T17:34:43Z
dc.date.available2025-03-26T17:34:43Z
dc.date.issued2023
dc.departmentİstanbul Esenyurt Üniversitesi
dc.description.abstractObjective: 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.
dc.identifier.doi10.5152/j.aott.2023.21245
dc.identifier.issn1017-995X
dc.identifier.issn2589-1294
dc.identifier.issue6
dc.identifier.pmid38454215
dc.identifier.scopus2-s2.0-85182486522
dc.identifier.scopusqualityQ2
dc.identifier.trdizinid1246586
dc.identifier.urihttps://doi.org/10.5152/j.aott.2023.21245
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1246586
dc.identifier.urihttps://hdl.handle.net/20.500.14704/858
dc.identifier.volume57
dc.identifier.wosWOS:001186631200001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTurkish Assoc Orthopaedics Traumatology
dc.relation.ispartofActa Orthopaedica Et Traumatologica Turcica
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WOS_20250326
dc.subjectHand rehabilitation; Plate fixation; Radius fracture; Ulnar styloid
dc.titleDistal radius fractures: What are the effects of ulnar styloid fracture and face-toface rehabilitation on the functional outcome?
dc.typeArticle

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