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Effect of postoperative pneumatic compression after volar plate fixation of distal radial fractures: a randomized controlled trial
Linköping University, Department of Clinical and Experimental Medicine, Division of Surgery, Orthopedics and Oncology. Linköping University, Faculty of Medicine and Health Sciences. Department of Orthopaedics, Eksjö, Region Jönköping County, Sweden.ORCID iD: 0000-0001-9332-9363
Falun Cent Hosp, Sweden.
Linköping University, Department of Clinical and Experimental Medicine. Linköping University, Faculty of Medicine and Health Sciences. Department of Orthopaedics, Eksjö, Region Jönköping County, Sweden.
Falun Cent Hosp, Sweden.
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2018 (English)In: Journal of Hand Surgery, European Volume, ISSN 1753-1934, E-ISSN 2043-6289, Vol. 43, no 8, p. 825-831Article in journal (Refereed) Published
Abstract [en]

We investigated the difference between postoperative rehabilitation with or without adjunctive intermittent pneumatic compression therapy following distal radial fracture treated with volar plating. A total of 115 patients were randomized to a control or to an experimental group. After 4 weeks of immobilization the experimental group received intermittent pneumatic compression therapy in addition to conventional postoperative rehabilitation. Primary outcome up to 1 year postoperatively was assessed using the Canadian Occupational Performance Measure. No significant differences between groups were found. There were no clinically relevant differences regarding the secondary outcome measures swelling, strength, pain and flexibility. We conclude that postoperative intermittent pneumatic compression treatment had no major benefits. The results of the present study do not support general use of intermittent pneumatic compression initiated 4 weeks following volar plating surgery for distal radial fracture. Level of evidence: I

Place, publisher, year, edition, pages
SAGE PUBLICATIONS LTD , 2018. Vol. 43, no 8, p. 825-831
Keywords [en]
Canadian Occupational Performance Measure; distal radial fracture; intermittent pneumatic compression; oedema; range of motion
National Category
Orthopaedics
Identifiers
URN: urn:nbn:se:liu:diva-151776DOI: 10.1177/1753193418760493ISI: 000444583100006PubMedID: 29504445OAI: oai:DiVA.org:liu-151776DiVA, id: diva2:1254090
Note

Funding Agencies|Centre for Clinical Research Dalarna, Sweden; Futurum - the Academy for Health and Care, Region Jonkoping County, Sweden

Available from: 2018-10-08 Created: 2018-10-08 Last updated: 2019-04-03

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Alkner, Björn

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Alkner, BjörnBrakenhielm, Gustaf
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Division of Surgery, Orthopedics and OncologyFaculty of Medicine and Health SciencesDepartment of Clinical and Experimental Medicine
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Journal of Hand Surgery, European Volume
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