TY - JOUR

T1 - Factors influencing functioning after volar locking plate fixation of distal radius fractures

T2 - a scoping review of 148 studies

AU - Boel, Susanne

AU - Vinther, Anders

AU - Hansen, Alice Ø.

AU - Juhl, Carsten B.

AU - Landgren, Marcus

AU - Jacobsen, Nicolaj S.

AU - Paulsen, Camilla P.

AU - Jørgensen, Claus T.

AU - Kristensen, Hanne Kaae

N1 - Publisher Copyright: © 2023 The Author(s).

PY - 2023

Y1 - 2023

N2 - Background and purpose — A better understanding of factors that influence functioning may improve the identi-fication 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 exten-sive 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 “activi-ties and participation.”.

AB - Background and purpose — A better understanding of factors that influence functioning may improve the identi-fication 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 exten-sive 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 “activi-ties and participation.”.

U2 - 10.2340/17453674.2023.13431

DO - 10.2340/17453674.2023.13431

M3 - Journal article

C2 - 37293983

AN - SCOPUS:85163181282

VL - 94

SP - 280

EP - 286

JO - Acta Orthopaedica

JF - Acta Orthopaedica

SN - 1745-3674

ER -