Research Information System
Thesis Type: Postgraduate
Institution Of The Thesis: Gazi University, Sağlık Bilimleri Enstitüsü, FİZYOTERAPİ VE REHABİLİTASYON ANABİLİM DALI, Turkey
Approval Date: 2020
Thesis Language: Turkish
Student: MUSTAFA SARI
Supervisor: Deran Oskay
Abstract:
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