Patient Experience of Distraction Splinting for Complex Finger Fracture Dislocations

O’Brien, Lisa; Presnell, Scott

doi:10.1016/j.jht.2010.01.002

Cited by 20 publications

(20 citation statements)

References 23 publications

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“…Appearance of orthosis has previously been identified as influencing adherence [9,19,29], however was only reported by one participant in this study.…”

Section: A C C E P T E D Accepted Manuscriptmentioning

confidence: 63%

“…Discomfort may stem from poorly fabricated plasters or material [28,29]. Comfort should be a focus for health professionals during fabrication of plasters and orthoses, which may translate M A N U S C R I P T…”

Section: Adherence To Plaster Slab Immobilisationmentioning

confidence: 99%

“…The perceived severity of condition and belief regarding treatment has been reported as influential on adherence in other populations [10,19,29,36], and further study in pediatric hand trauma may be beneficial. In this study injury details were reported by parents and were not verified by researchers in order to maintain anonymity, therefore need for operative intervention may be interpreted as an indicator of injury severity.…”

Section: Adherence Following An Operation or Procedures Under Anaestheticmentioning

confidence: 99%

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Adherence behavior in an acute pediatric hand trauma population: A pilot study of parental report of adherence levels and influencing factors

Cole

Underhill

Kennedy

2016

Journal of Hand Therapy

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“…Appearance of orthosis has previously been identified as influencing adherence [9,19,29], however was only reported by one participant in this study.…”

Section: A C C E P T E D Accepted Manuscriptmentioning

confidence: 63%

Section: Adherence To Plaster Slab Immobilisationmentioning

confidence: 99%

Section: Adherence Following An Operation or Procedures Under Anaestheticmentioning

confidence: 99%

See 1 more Smart Citation

Adherence behavior in an acute pediatric hand trauma population: A pilot study of parental report of adherence levels and influencing factors

Cole

Underhill

Kennedy

2016

Journal of Hand Therapy

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“…O’Brien and Presnell 26 explored patient experiences of distraction splinting using a dorsal forearm-based swing traction splint similar to the Murray and McIntyre 20 design. These authors highlighted that ‘almost all patients have described the splint as confronting in appearance’ (p. 250) and the major theme to emerge from their study was the patients disconnect between the perceived complexity of the injury and treatment.…”

Section: Introductionmentioning

confidence: 99%

“…These authors highlighted that ‘almost all patients have described the splint as confronting in appearance’ (p. 250) and the major theme to emerge from their study was the patients disconnect between the perceived complexity of the injury and treatment. 26…”

Section: Introductionmentioning

confidence: 99%

Hand-based swing traction splinting for intra-articular proximal interphalangeal joint fractures

Hirth

Jacobs

Sleep³

2013

Hand Therapy

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Introduction Acute intra-articular fractures of the proximal interphalangeal joint have always presented as a difficult injury to manage for the treating surgeon and therapist. Traction management enabling ligamentotaxis and motion is a popular method to manage these injuries. This case series presents the design and results of hand-based swing traction splinting which is less cumbersome for patients than other forms of traction splinting. Methods Five patients presenting with intra-articular proximal interphalangeal joint fractures underwent surgery whereby a transverse K-wire was inserted across the middle phalanx. The treating Occupational Therapist fabricated a hand-based swing traction splint to provide a distraction force from the K-wire to the splint. Range of motion and patient satisfaction were the primary outcome measures. Results All five patients reported satisfaction with their hand function following therapy involving swing traction splinting. Furthermore, range of motion was comparable to other forms of traction management reported in the literature with an 88° mean arc of motion at the proximal interphalangeal joint. Conclusion This case series demonstrates that hand-based swing traction splinting is a viable treatment option for the management of intra-articular proximal interphalangeal joint fractures. With similar outcomes to other forms of distraction that enable early movement, such as the pins and rubber traction system, this design is an alternative. The less cumbersome splint design is the main advantage over other splinting methods that apply distraction whilst also enabling early motion.

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Qualitative Evidence in Pain

Löfgren

Ekholm

Schult

et al. 2016

Handbooks in Health, Work, and Disability

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Patient Experience of Distraction Splinting for Complex Finger Fracture Dislocations

Cited by 20 publications

References 23 publications

Adherence behavior in an acute pediatric hand trauma population: A pilot study of parental report of adherence levels and influencing factors

Adherence behavior in an acute pediatric hand trauma population: A pilot study of parental report of adherence levels and influencing factors

Hand-based swing traction splinting for intra-articular proximal interphalangeal joint fractures

Qualitative Evidence in Pain

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