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

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 f...

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Main Authors: Susanne Boel, Anders Vinther, Alice Ø Hansen, Carsten B Juhl, Marcus Landgren, Nicolaj S Jacobsen, Camilla P Paulsen, Claus T Jørgensen, Hanne Kaae Kristensen
Format: Article
Language:English
Published: Medical Journals Sweden 2023-06-01
Series:Acta Orthopaedica
Subjects:
Online Access:https://actaorthop.org/actao/article/view/13431
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author Susanne Boel
Anders Vinther
Alice Ø Hansen
Carsten B Juhl
Marcus Landgren
Nicolaj S Jacobsen
Camilla P Paulsen
Claus T Jørgensen
Hanne Kaae Kristensen
author_facet Susanne Boel
Anders Vinther
Alice Ø Hansen
Carsten B Juhl
Marcus Landgren
Nicolaj S Jacobsen
Camilla P Paulsen
Claus T Jørgensen
Hanne Kaae Kristensen
author_sort Susanne Boel
collection DOAJ
description 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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spelling doaj.art-5c0570ffc7594359a9ab038eeed523702023-06-09T11:27:32ZengMedical Journals SwedenActa Orthopaedica1745-36741745-36822023-06-019410.2340/17453674.2023.13431Factors influencing functioning after volar locking plate fixation of distal radius fractures: a scoping review of 148 studiesSusanne Boel0Anders Vinther1Alice Ø Hansen2Carsten B Juhl3Marcus Landgren4Nicolaj S Jacobsen5Camilla P Paulsen6Claus T JørgensenHanne Kaae Kristensen7Department 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, OdenseDepartment of Physiotherapy and Occupational Therapy, Copenhagen University Hospital, Herlev and Gentofte; Hospital Secretariat and Communications, Research, Herlev and Gentofte, Copenhagen University HospitalDepartment of Clinical Research, University of Southern Denmark, Odense; Department of Orthopedic Surgery and Traumatology, Odense University Hospital, OdenseDepartment of Physiotherapy and Occupational Therapy, Copenhagen University Hospital, Herlev and Gentofte; Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, OdenseDepartment of Orthopedic Surgery, Hand Surgery Unit, Herlev and Gentofte, Copenhagen University Hospital; Department of Evidence-Based Medicine (EBM), Danish Health Authority, CopenhagenDepartment of Orthopedic Surgery and Traumatology, Odense University Hospital, OdenseDepartment of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, CopenhagenDepartment 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 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.” https://actaorthop.org/actao/article/view/13431FracturesFunctioningInternational Classification of FunctioningDisability and Health (ICF)Radius fracturesScoping review
spellingShingle Susanne Boel
Anders Vinther
Alice Ø Hansen
Carsten B Juhl
Marcus Landgren
Nicolaj S Jacobsen
Camilla P Paulsen
Claus T Jørgensen
Hanne Kaae Kristensen
Factors influencing functioning after volar locking plate fixation of distal radius fractures: a scoping review of 148 studies
Acta Orthopaedica
Fractures
Functioning
International Classification of Functioning
Disability and Health (ICF)
Radius fractures
Scoping review
title Factors influencing functioning after volar locking plate fixation of distal radius fractures: a scoping review of 148 studies
title_full Factors influencing functioning after volar locking plate fixation of distal radius fractures: a scoping review of 148 studies
title_fullStr Factors influencing functioning after volar locking plate fixation of distal radius fractures: a scoping review of 148 studies
title_full_unstemmed Factors influencing functioning after volar locking plate fixation of distal radius fractures: a scoping review of 148 studies
title_short Factors influencing functioning after volar locking plate fixation of distal radius fractures: a scoping review of 148 studies
title_sort factors influencing functioning after volar locking plate fixation of distal radius fractures a scoping review of 148 studies
topic Fractures
Functioning
International Classification of Functioning
Disability and Health (ICF)
Radius fractures
Scoping review
url https://actaorthop.org/actao/article/view/13431
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