Effect of Immobilization Position on Outcomes Associated with Treatment of Distal Radius Fractures
- lmsapublications
- Dec 18, 2022
- 2 min read
Jose Chacon, MS4
The Effect of Immobilization Position on Functional Outcomes and
Complications Associated With the Conservative Treatment of Distal
Radius Fractures: A Systematic Review
About the Author:
Born in New York but raised in Orlando, FL. My parents were originally from Honduras. I was infected with viral meningitis and had profound effect on me, particularly, in speech. Despite this, I had dreams to be a doctor. Despite being discouraged to enter such career, it never derailed my dreams. Although, after high school I was caretaking my dad who was diagnosed with Thyroid cancer which then spread to his lungs. I was both caretaking and completing undergraduate at the same time. Despite its difficulty, I was able to obtain my bachelors, Cum magna laude, from Florida Hospital College of Health Sciences (now: AdventHealth University). I was able to be accepted to medical school at St. Matthews University School of Medicine at Grand Cayman Island. During that time, I participated in many health outreach organnizatios as well spend time in various health settings shadowing various doctors in various specialties; at the same time remotely caretaking my dad. I temporary halted my education at SMU and transferred to my current school at the American University of Integrative Sciences at St. Maarten Island (now at Barbados). After completing Basic Sciences and completing my Step One examination, my father suffered a hip fracture which was determined to be caused by a pathological fracture from the cancer cells that spread from his lung to the bone. Over time his condition deterred until he succumbed to his condition. About two weeks later, I began my clinical rotations. This experience furthered my interest into orthopedic oncology. In midst of all the circumstances, I was determined to complet my goals and as my dad would say " keep your eyes straight and always look ahead".
About the Work:
A Systemic Review was conducted in determine incidences of complications in the conservative treatment of distal radius fracture using different forms of immobilization techniques. Database searches from PubMed, Medline, and Embase was used to collect articles of interest based on our inclusion and exclusion criterias. At the end of the search, 8 studies with 16 treatment groups were used..Many studies determine that patients placed on wrist extension had not only better range of motion and radiographic outcomes but also better functional outcomes than on wrist flexion. In addition, one study revealed wrist on pronation had lower rates of redisplacement than those in a neutral or supination
position. Despite various endpoints and use of scoring instead of individual-specific metrics, this results in heterogeneity and lack of uniformity significantly limited the
ability to perform meta-analyses and further stratify the groups for further calculations; as well, variability in the immobilization constructs(eg, sugar tong orthoses, below elbow casts, dorsal plaster orthoses) used in clinical practice.
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