Department 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, Odense.
Department of Physiotherapy and Occupational Therapy, Copenhagen University Hospital, Herlev and Gentofte; Hospital Secretariat and Communications, Research, Herlev and Gentofte, Copenhagen University Hospital.
Acta Orthop. 2023 Jun 7;94:280-286. doi: 10.2340/17453674.2023.13431.
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.
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).
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.
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."
更好地了解影响功能的因素可能会提高识别需要手部治疗的桡骨远端骨折（DRF）患者的能力。本范围综述的目的是全面概述已评估的影响 DRF 经掌侧锁定板固定后手部功能的因素。
从 2005 年至 2021 年，对 6 个数据库进行了搜索，以获取有关 DRF 经掌侧锁定板手术治疗的出版物。纳入的研究评估了术后 6 周内的人口统计学、围手术期和术后因素对术后至少 3 个月功能的影响。功能通过患者报告的结果测量进行评估。这些因素被分类为主题，并映射到国际功能、残疾和健康分类（ICF）。
共纳入 148 项研究。708 个因素分为 39 个主题（例如疼痛），并映射到 ICF 组件。这些主题主要映射到“身体功能和结构”（n = 26），很少映射到“活动和参与”（n = 5）。骨折类型（n = 40）、年龄（n = 38）和性别（n = 22）是评估最多的因素。
本范围综述确定了大量在手术后 6 周内评估的因素，以了解其对 DRF 经掌侧锁定板固定后至少 3 个月功能的影响，并且现有研究主要评估了与“身体功能和结构”相关的因素，很少关注与“活动和参与”相关的因素。
