Fitted orthosis versus plaster splint in postoperative rehabilitation after DRF fixation .
Early functional postoperative therapy of distal radius fracture with a dynamic orthosis: results of a prospective randomized cross-over comparative study
PLoS One. 2015 Mar 30;10(3):e011772029 patients with displaced distal radius fracture were randomized in this cross-over trial comparing a vacuum-fitted orthosis and a plaster splint in postoperative rehabilitation. Following volar locking plate fixation, patients were randomized to one week orthosis wear followed by 3 weeks splint wear, or to one week splint wear followed by 3 weeks orthosis wear. Patient satisfaction and SF-36 scores were examined at 1 and 2 weeks after surgery, and range of motion and DASH scores were reported at 4 and 12 weeks after surgery. Aesthetics, handling, and hygiene were rated higher for the orthosis than the plaster splint, though no significant differences were noted in range of motion, SF-36 scores, or DASH scores.
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