Factors influencing functioning after volar locking plate fixation of distal radius fractures: a scoping review of 148 studies

Authors

  • Susanne Boel Department of Physiotherapy and Occupational Therapy, Copenhagen University Hospital, Herlev and Gentofte; Department of Clinical Research, University of Southern Denmark, Odense; Centre for Innovative Medical Technology, Odense University Hospital, Odense https://orcid.org/0000-0002-4876-7281
  • Anders Vinther Department of Physiotherapy and Occupational Therapy, Copenhagen University Hospital, Herlev and Gentofte; Hospital Secretariat and Communications, Research, Herlev and Gentofte, Copenhagen University Hospital
  • Alice Ø Hansen Department of Clinical Research, University of Southern Denmark, Odense; Department of Orthopedic Surgery and Traumatology, Odense University Hospital, Odense
  • Carsten B Juhl Department of Physiotherapy and Occupational Therapy, Copenhagen University Hospital, Herlev and Gentofte; Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense
  • Marcus Landgren Department of Orthopedic Surgery, Hand Surgery Unit, Herlev and Gentofte, Copenhagen University Hospital; Department of Evidence-Based Medicine (EBM), Danish Health Authority, Copenhagen https://orcid.org/0000-0002-6513-0100
  • Nicolaj S Jacobsen Department of Orthopedic Surgery and Traumatology, Odense University Hospital, Odense
  • Camilla P Paulsen Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen
  • Claus T Jørgensen
  • Hanne Kaae Kristensen Department of Clinical Research, University of Southern Denmark, Odense; Centre for Innovative Medical Technology, Odense University Hospital, Odense; Health Sciences Research Centre, UCL University College, Odense, Denmark

DOI:

https://doi.org/10.2340/17453674.2023.13431

Keywords:

Fractures, Functioning, International Classification of Functioning, Disability and Health (ICF), Radius fractures, Scoping review

Abstract

Background and purpose: A better understanding of factors that influence functioning may improve the identification 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 factors evaluated within 6 weeks after surgery for their influence on functioning at least 3 months after volar plate fixation 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.”

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2023-06-07

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Boel, S., Vinther, A., Hansen, A. Ø, Juhl, C. B., Landgren, M., Jacobsen, N. S., … Kristensen, H. K. (2023). Factors influencing functioning after volar locking plate fixation of distal radius fractures: a scoping review of 148 studies. Acta Orthopaedica, 94, 280–286. https://doi.org/10.2340/17453674.2023.13431

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Vol. 94 (2023): Acta Orthopaedica

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Copyright (c) 2023 Susanne Boel, Anders Vinther, Alice Ø Hansen, Carsten B Juhl, Marcus Landgren, Nicolaj S Jacobsen, Camilla P Paulsen, Claus T Jørgensen, Hanne Kaae Kristensen

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Acta Orthopaedica (Scandinavica) content is available freely online as from volume 1, 1930. The journal owner owns the copyright for all material published until volume 80, 2009. As of June 2009, the journal has however been published fully Open Access, meaning the authors retain copyright to their work. As of June 2009, articles have been published under CC-BY-NC or CC-BY licenses, unless otherwise specified.
 
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