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· DOS Abstracts
Physiotherapy after Volar Plate Osteosynthesis -
which factors are predictive
Brian Weng Sørensen, Christopher Jantzen, Thomas Michael Nissen-Juul
Sørensen, Kecia Vicki Ardensø, Susanne Kristensen Mallet
Orthopedic, ZealandUniversityHospital;Orthopedic, ZealandUniversityHospital;
Orthopedic, Zealand University Hospital; Occupational- and Physiotherapy,
Zealand University Hospital; Orthopedic, Zealand University Hospital
Background:
At our clinic, all patients with an operatively treated distal radius
fracture are evaluated by an Occupational Therapist who plans the rehabilita-
tion. Some patients are referred to further rehabilitation at a Physiotherapist.
We wanted to investigate which factors predicts referral to physiotherapy.
Purpose / Aim of Study:
To investigate factors associated with increased
odds of being referred to physiotherapy.
Materials and Methods:
Data was gathered from 100 patients enrolled in a
randomized study investigating postoperative treatment. We used these data
retrospectively for this study. Data was available for 84 patients. The patients
was grouped to additional physiotherapy 4 weeks post-operatively or not.
Data was collected on: Age, sex, fracture type using AO classification, time-
to-surgery, cast or removable cast post- operatively, DASH-score at 4 weeks.
Uni- and multivariate analysis was conducted with adjustment for all included
variables in the latter and referral to physiotherapy as outcome.
Findings / Results:
Patients in the group receiving physiotherapy had a signifi-
cant higher median DASH-score (50 vs. 63.39 – p=0.002), and higher preva-
lence of Type C fractures (72 % vs. 43.64 % - p=0.002) The univariate analysis
showed that patients suffering from a high DASH-score at 4 weeks (OR 1.67
per 10 unit – p=0.003) or Type B (OR 7.19 – p=0.03) or C fracture (OR 8.63 –
p=0.01) had increased odds of being referred to physiotherapy. This association
was still significant for Type C fractures (OR 8.96 – p=0.04) and DASH-score
(OR 1.57 per 10 unit – p=0.02) after adjustment for age, sex, time-to- sur-
gery, DASH-score at 4 weeks and postoperative use of wrist-laser.
Conclusions:
Our study shows that patients with a high DASH- score at 4
weeks or a Type-C fracture had increased odds of being referred to physio-
therapy.
No conflicts of interest reported
159.