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Application of removable wrist splint in the management of distal forearm torus fractures.

Karimi Mobarakeh M, Nemati A, Noktesanj R, Fallahi A, Safari S - Trauma Mon (2013)

Bottom Line: Finally the treatment results of the two groups were compared.There were no significant differences regarding degree of pain, compliance or complications between RWS and SAC groups.RWS can be considered as an easy and acceptable treatment modality with very low costs and complications in the management of DFTF.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedic and Trauma Surgery, Kerman University of Medical Sciences, Shahid Bahonar Hospital, Kerman, IR Iran.

ABSTRACT

Background: There is considerable variation in the treatment of distal forearm torus fractures (DFTF), from soft bandaging to cast immobilization.

Objectives: The present study aimed to show the result of removable wrist splint (RWS) in the treatment of these fractures.

Materials and methods: One hundred forty two children aged less than 17 years old with DFTF were studied prospectively. These patients were randomly treated either by a short arm cast (SAC) or a RWS for three weeks. Finally the treatment results of the two groups were compared.

Results: There were no significant differences regarding degree of pain, compliance or complications between RWS and SAC groups. Resource savings can be made with this approach also patients' and parents' satisfaction can be increased without compromising patients' care.

Conclusions: RWS can be considered as an easy and acceptable treatment modality with very low costs and complications in the management of DFTF.

No MeSH data available.


Related in: MedlinePlus

The Removable Wrist Splint (RWS) Used in the Current Study
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fig1386: The Removable Wrist Splint (RWS) Used in the Current Study

Mentions: All recognized DFTF patients, who referred to the orthopedic clinic of Shahid Bahonar Hospital (an educational hospital of Kerman province, Iran) from July to December 2010, were enrolled in this clinical trial. They were randomly divided into two groups on the day of attendance in the clinic. One group was managed with SAC and the other with RWS (figure 1). Ethics committee of Shahid Bahonar University of Medical Sciences approved the research. A full verbal and written explanation was given to the parents in RWS group. All the parents in RWS group gave an informed consent prior to being included into the study. The duration of treatment was three weeks for both groups. Appointments were made, for three weeks later, for the SAC group for cast removal, control radiography and filling the follow-up form. The patients in the RWS group were followed up by phone upon termination of their treatment period. Questions were asked to fill out the follow up form, regarding pain severity, convenience of treatment, satisfaction with the “one stop” service as well as to document any cast or splint problems or complications. Patients were asked about pain alone or other symptoms, either in the wrist splint or the plaster cast. The scale of pain assessment consisted of a semantic scale similar to an analog visual scale, but they were not exactly validated. The patient reported the results in terms of no pain, pain on activity or pain at rest. The satisfaction of patients was measured by Verhaar scale.


Application of removable wrist splint in the management of distal forearm torus fractures.

Karimi Mobarakeh M, Nemati A, Noktesanj R, Fallahi A, Safari S - Trauma Mon (2013)

The Removable Wrist Splint (RWS) Used in the Current Study
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3860656&req=5

fig1386: The Removable Wrist Splint (RWS) Used in the Current Study
Mentions: All recognized DFTF patients, who referred to the orthopedic clinic of Shahid Bahonar Hospital (an educational hospital of Kerman province, Iran) from July to December 2010, were enrolled in this clinical trial. They were randomly divided into two groups on the day of attendance in the clinic. One group was managed with SAC and the other with RWS (figure 1). Ethics committee of Shahid Bahonar University of Medical Sciences approved the research. A full verbal and written explanation was given to the parents in RWS group. All the parents in RWS group gave an informed consent prior to being included into the study. The duration of treatment was three weeks for both groups. Appointments were made, for three weeks later, for the SAC group for cast removal, control radiography and filling the follow-up form. The patients in the RWS group were followed up by phone upon termination of their treatment period. Questions were asked to fill out the follow up form, regarding pain severity, convenience of treatment, satisfaction with the “one stop” service as well as to document any cast or splint problems or complications. Patients were asked about pain alone or other symptoms, either in the wrist splint or the plaster cast. The scale of pain assessment consisted of a semantic scale similar to an analog visual scale, but they were not exactly validated. The patient reported the results in terms of no pain, pain on activity or pain at rest. The satisfaction of patients was measured by Verhaar scale.

Bottom Line: Finally the treatment results of the two groups were compared.There were no significant differences regarding degree of pain, compliance or complications between RWS and SAC groups.RWS can be considered as an easy and acceptable treatment modality with very low costs and complications in the management of DFTF.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedic and Trauma Surgery, Kerman University of Medical Sciences, Shahid Bahonar Hospital, Kerman, IR Iran.

ABSTRACT

Background: There is considerable variation in the treatment of distal forearm torus fractures (DFTF), from soft bandaging to cast immobilization.

Objectives: The present study aimed to show the result of removable wrist splint (RWS) in the treatment of these fractures.

Materials and methods: One hundred forty two children aged less than 17 years old with DFTF were studied prospectively. These patients were randomly treated either by a short arm cast (SAC) or a RWS for three weeks. Finally the treatment results of the two groups were compared.

Results: There were no significant differences regarding degree of pain, compliance or complications between RWS and SAC groups. Resource savings can be made with this approach also patients' and parents' satisfaction can be increased without compromising patients' care.

Conclusions: RWS can be considered as an easy and acceptable treatment modality with very low costs and complications in the management of DFTF.

No MeSH data available.


Related in: MedlinePlus