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- Title
Factors influencing functioning after volar locking plate fixation of distal radius fractures: a scoping review of 148 studies.
- Authors
BOEL, Susanne; VINTHER, Anders; HANSEN, Alice Ø.; JUHL, Carsten B.; LANDGREN, Marcus; JACOBSEN, Nicolaj S.; PAULSEN, Camilla P.; JØRGENSEN, Claus T.; KRISTENSEN, Hanne Kaae
- Abstract
Background and purpose -- A better understanding of factors that influence functioning may improve the identi- fication of patients with distal radius fractures (DRFs) who need hand therapy. The purpose of this scoping review was to provide a comprehensive overview of factors that have been evaluated for their influence on hand functioning following volar plate fixation of DRFs. Material and methods -- 6 databases were searched from 2005 to 2021 for publications regarding surgical treatment for a DRF with a volar locking plate. Included studies evaluated demographic, perioperative, and postoperative factors within the 6 weeks post-surgery for their influence on functioning at least 3 months post-surgery. Functioning was assessed with patient-reported outcome measures. The factors were categorized into themes and mapped to the International Classification of Functioning, Disability and Health (ICF). Results -- 148 studies were included. 708 factors were categorized into 39 themes (e.g. pain) and mapped to the ICF components. The themes were primarily mapped to "body functions and structures" (n = 26) and rarely to "activities and participation" (n = 5). Fracture type (n = 40), age (n = 38), and sex (n = 22) were the most frequently evaluated factors. Conclusion -- This scoping review identified an extensive number of fac tors evaluated within 6 weeks after surgery for their influ ence on functioning at least 3 months after volar plate fixa tion of a DRF and the existing research has primarily evaluated factors related to "body functions and structures," with limited focus on factors related to "activities and participation."
- Subjects
CINAHL database; MEDICAL databases; PSYCHOLOGY information storage &; retrieval systems; ORTHOPEDIC implants; NOSOLOGY; MEDICAL information storage &; retrieval systems; SYSTEMATIC reviews; HAND injury treatment; HAND surgery; HEALTH outcome assessment; SPORTS; FUNCTIONAL assessment; TREATMENT effectiveness; FRACTURE fixation; LITERATURE reviews; MEDLINE; INFORMATION storage &; retrieval systems; DISTAL radius fractures
- Publication
Acta Orthopaedica, 2023, Vol 94, p280
- ISSN
1745-3674
- Publication type
Article
- DOI
10.2340/17453674.2023.13431