Do the wristforearmthumb exercises 3xday out of your splint. Fractures and injuries of the distal radius and carpus, 2009. The therapy protocol for regaining finger motion is tiered and instituted immediately in all patients box 2. Internal fixation orif in adults due to propensity for chronic dislocation of.
Distal radius orif therapist protocol david gesensway, md week 1. Using an irb approved protocol, medical records over nine years were queried to identify. Distal radius fracture and repair rehab protocol may 2017. Fabricate custom circumferential orfit wrist hand orthosis 23 of the way up the forearm, nice. Colles fracture post operative rehabilitation protocol physiopedia. Domain of ot, occupational therapy process and professional issues. Operative treatment of unstable distal radius fractures in adult. Treatment can involve both nonoperative and operative. The treatment of distal radius fractures summary of recommendations the following is a summary of the recommendations in the aaos clinical practice guideline, the treatment of distal radius fractures. The finger exercises can be done in the splint, every 2 hours. Use of the tpin in the treatment of extraarticular distal radius fractures. Patient is in postop splint patient to elevate the arm and do finger exercises frequently with the goal of full digit mobility within the week. Identify elements of medical diagnosis and treatment of distal radius fractures.
Distal radius wrist fracture surgery home program phase 2 exercises david gesensway, md you will start these exercises 57 days after surgery, at your first hand therapy visit. Please fax initial evaluation and progress notes to 815. You should move straighten and bend your fingers at least 10 times per day within your comfort to decrease swelling and prevent. Distal radius fracture orif rehabilitation protocol kelly holtkamp, m. Distal radius wrist fracture surgery home program phase 2. Distal radius fracture an overview sciencedirect topics. An evidenced based approach to intervention with bonus printable. Begin gentle wrist arom at 4 weeks continue finger, elbow and shoulder rom continue forearm rotation rom utilize scar management techniques.
Distal radius fracture orif rehabilitation protocol. Antonio abramo, philippe kopylov, magnus tagil evaluation of a treatment protocol in distal radius. The scope of this guideline is specifically limited to acute distal radius fractures. Guideline treatment of distal radius fractures in adults magic app. Best practice for management of distal radial fractures bssh. Distal radius open reduction and internal fixation. Dr hove also took the initiative for a book on wrist surgery published. Distal radius fractures are common injuries treated in a multitude of ways. Tendon gliding exercises and passive finger motion with the wrist neutral are started immediately, since there are no biomechanical concerns regarding phalangeal stability. The biochemical and biomechanical events that occur during fracture healing provide the underlying foundation for the rehabilitation program following a distal radius fracture. There is no increased risk of infection when converting ef to orif in the treatment of complex distal radius fractures when conversion. Fashion removable shortarm volar wrist splint in neutral to be used at all times except for therapy and motion exercises. Early management of distal radius fracture with orif.
Distal radius fracture orif activity you may not bear weight with your affected arm until cleared by your physician. In what position should a fractured distal radius be immobilised. Mammoth orthopedic institute 85 sierra park road mammoth lakes, ca 93546 760. Want to learn how to manage a distal radius fracture from start to. A distal radius fracture, commonly known as a wrist fracture, is defined. Evaluation of a treatment protocol in distal radius fractures.