BACKGROUND: There are relatively few studies in the literature that specifically evaluate accelerated rehabilitation protocols for @entity174 treated with open reduction and internal fixation (ORIF). The purpose of this study was to compare the early postoperative outcomes (at zero to twelve weeks postoperatively) of @entity1 enrolled in an accelerated rehabilitation protocol with those of @entity1 enrolled in a standard rehabilitation protocol following ORIF for a @entity174 . We hypothesized that @entity1 with accelerated rehabilitation after volar ORIF for a @entity174 would have an earlier return to function compared with @entity1 who followed a standard protocol. METHODS: From November 2007 to November 2010, eighty-one @entity1 with an unstable @entity174 were prospectively randomized to follow either an accelerated or a standard rehabilitation protocol after undergoing ORIF with a volar plate for a @entity174 . Both groups began with gentle active range of motion at three to five days postoperatively. At two weeks, the accelerated group initiated wrist/forearm passive range of motion and strengthening exercises, whereas the standard group initiated passive range of motion and strengthening at six weeks postoperatively. @entity1 were assessed at three to five days, two weeks, three weeks, four weeks, six weeks, eight weeks, twelve weeks, and six months postoperatively. Outcomes included Disabilities of the Arm, Shoulder and Hand (DASH) scores (primary outcome) and measurements of wrist flexion/extension, supination, pronation, grip strength, and @entity32680 . RESULTS: The @entity1 in the accelerated group had better mobility, strength, and DASH scores at the early postoperative time points (zero to eight weeks postoperatively) compared with the @entity1 in the standard rehabilitation group. The difference between the groups was both clinically relevant and statistically significant. CONCLUSIONS: @entity1 who follow an accelerated rehabilitation protocol that emphasizes motion immediately postoperatively and initiates strengthening at two weeks after volar ORIF of a @entity174 have an earlier return to function than @entity1 who follow a more standard rehabilitation protocol. LEVEL OF EVIDENCE: Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.

Accelerated rehabilitation compared with a standard protocol after XXXX treated with volar open reduction and internal fixation: a prospective, randomized, controlled study.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity32680 :: ('MESH:C537389', 'Disease') :: ['palmar pinch'] @entity174 :: ('MESH:D050723', 'Disease') :: ['distal radial fractures', 'distal radial fracture']
@entity174 :: (MESH:D050723,Disease) :: ['distal radial fractures']
