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Neue aspekte in der nachbehandlung distaler radiusfrakturen (New aspects in rehabilitation after distal radius fractures) [German]
Tebmann UJ, Schmidt J
Aktuelle Traumatologie 2006 Jun;36(3):113-117
clinical trial
2/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

The distal radius fractures belong to the most common fractures. They have a great economical importance. The average inability to work varies between 50 and 90 days. A supply with interlocking plate system enables an early-functional subsequent treatment. Special attention should be paid to the posttraumatic and postoperative swelling. We initiated a prospective randomized study including patients with a distal radius fracture and examined the effectiveness of elastic bandaging with Uniflex-Universal bandages from 'BSN' versus the application ready made Cicatrex-Interims-gloves from 'Thuasne', regarding the influence on swelling and functional results. All patients are treated within the first 24 hours after trauma with interlocking plate systems using, depending on the type of fracture, the 'volar distal radius plate' or the 'LCP plate'. After surgery, physiotherapy had to begin immediately. We measured the volumes, the circumference and the mobility of the lower arms and the wrists in defined time intervals. The results of a preliminary study showed 17 patients, 14 women and 3 men, with an average age of 59.4 years. We treated 7 A- and 10 C-type fractures (AO-Classification). We compared 9 patients with glove- and 8 patients with bandaging supply. From the 10th day after treatment, the absolute reduction of the swelling was significantly better for the group with glove supply. The normalization of swelling, in side comparison, occurred in the group with gloves after 10 days and in the bandaging group only after 14 days. The ready made Cicatrex-Interims-gloves showed us significant advantages in the normalization of the posttraumatic and postoperative swelling after distal radius fractures. The final results of the study are still pending. The results of the preliminary study led in our hospital to a consistent application of the compression gloves on all patients who are operated at the upper extremity if early-functional subsequent treatment is intended.

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