The Effect Of Prolonged Volar Plate Applıcatıon On Paın, Functıon And Qualıty Of Lıfe After Dıstal Radıus End Fractures

Thesis Type: Postgraduate

Institution Of The Thesis: Gazi University, Sağlık Bilimleri Enstitüsü, FİZYOTERAPİ VE REHABİLİTASYON ANABİLİM DALI, Turkey

Approval Date: 2020

Thesis Language: Turkish


Supervisor: Deran Oskay


After the distal radius end fracture, volar plate fixation is the most common open

reduction and internal fixation method. The aim of this study is to compare the pain, joint

range of motion, grip strength, hand function, disability level, patient satisfaction and

quality of life levels of patients with volar plate fixation after distal radius end fracture

with patients whose volar plate was removed. Patients with 20 volar plates (mean age

46,25 ± 16,12 years, 10K / 10E, median follow-up time 30 months) and 16 plates removed

(mean age 47.5 ± 11.3 years, 9K / 7E, median follow-up time 38 months) participated in

the study. Pain levels with McGill Pain Scale, joint range of motion with universal

goniometer, grip force with Jamar hand dynamometer and pinch meter, hand function

with Jebsen-Taylor Hand Function Test, disability level with Arm, Shoulder and Hand

Problems Questionnaire Turkish version (DASH-T), satisfaction level with Visual Analog

Scale (VAS) and quality of life with SF-36 questionnaire were evaluated. Pain, joint range

of motion, grip strength, hand function, disability level, and patient satisfaction were

similar in patients with the volar plate and removed plate (p> 0.05). The emotional role

limitation level of patients with plate was lower than patients with plate removed (p

<0.05), there was no statistically difference between other SF-36 parameters (p> 0.05). As

a result, patients with and without plate; pain, function and quality of life excluding

emotional role limitation results were similar. In addition, it was concluded that knowing

that some complications may occur after volar plate fixation is very important for the

rehabilitation program and volar plate does not need to be removed unless these

complications develop.

Key Words : Volar plate, Function, Radius fractures