Rehabilitation after plate fixation of upper and lower extremity fractures

Injury. 2018 Jun:49 Suppl 1:S72-S77. doi: 10.1016/S0020-1383(18)30308-5.

Abstract

Post-operative rehabilitation and weight-bearing protocols are important to fracture fixation outcomes, yet there is a dearth in the literature concerning universal treatment guidelines following plate fixation of extremity fractures. There are controversies regarding time to allow weight-bearing and range of motion for most fractures of the upper and lower extremity. This lack of a consensus has led to varying practice guidelines and differing anecdotal protocols between treating surgeons. This review attempts to establish consensus guidelines for the post-operative rehabilitation required for patients following plate fixation of common upper and lower extremity fractures.

Keywords: Immobilization; Lower extremity; Mobility; Mobilization; Plate fixation; Range of motion; Rehabilitation; Upper extremity; Weight-bearing.

Publication types

  • Review

MeSH terms

  • Arm Injuries / physiopathology
  • Arm Injuries / rehabilitation*
  • Arm Injuries / surgery
  • Bone Plates
  • Clinical Protocols
  • Consensus
  • Fracture Fixation, Internal*
  • Fractures, Bone / physiopathology
  • Fractures, Bone / rehabilitation*
  • Fractures, Bone / surgery
  • Humans
  • Immobilization / methods*
  • Leg Injuries / physiopathology
  • Leg Injuries / rehabilitation*
  • Leg Injuries / surgery
  • Range of Motion, Articular
  • Recovery of Function
  • Treatment Outcome
  • Weight-Bearing / physiology*