Effects Supervised Versus Home-Based Rehabilitation on Functional Outcome after Surgical Fixation
Haroon-ur-Rehman Gillani, Muhammad Umar Habib, Danish Hassan, Syed Muhammad Shah
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ABSTRACT
Background:
The focus for early
postoperative motion in stable fixation is aimed at good restoration of joint
anatomy in relation to movements, strength, and joint play and to compare the
functional outcomes after the surgical repair of distal humerus fractures in
contrast with supervised and home-based rehabilitation.
Aim: To provide guidelines to effectively manage
the post-operative functional complications.
Method:
Sixty-four
patients with the distal humerus fractures were treated surgically,
participated in the study at the mean follow up of 6 months. Mayo Elbow
Performance Score (MEPS), Disabilities of the Arm shoulder and Hand (DASH),
Visual Analogue Scale and Goniometer, radiographic evaluation was done to
assess outcomes at baseline
(2nd week after cast removal), 10th week &6th
month post-operative.
Results:
Among 60 patients, average MEPS, DASH, Arc of motion was
significantly better in supervised rehabilitation group in contrast with
home-based rehabilitation group (p=0.00, CI 95%). Average healing time observed
on radiographs was 10-12 weeks. The overall complication rate was only 4.7%,
while most of the minor complications resolved without any intervention.
Conclusions:
Outcomes of distal humerus fractures were good to
excellent in both groups, whereas supervised rehabilitation provided better
outcomes in context with ranger of motion, mobility, and functionality.
Keywords: Olecranon Osteotomy, Elbow
Fractures, Functional outcome, Elbow Rehabilitation