Volume 23 Issue 7
Jul.  2025
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(7): 1258-1261
CHEN Feifei, CHEN Jiefang. Application of a staged functional training program based on IPC model in postoperative patients with unstable distal radius fractures[J]. Chinese Journal of General Practice, 2025, 23(7): 1258-1261. doi: 10.16766/j.cnki.issn.1674-4152.004110
Citation: CHEN Feifei, CHEN Jiefang. Application of a staged functional training program based on IPC model in postoperative patients with unstable distal radius fractures[J]. Chinese Journal of General Practice, 2025, 23(7): 1258-1261. doi: 10.16766/j.cnki.issn.1674-4152.004110
shu

Application of a staged functional training program based on IPC model in postoperative patients with unstable distal radius fractures

doi: 10.16766/j.cnki.issn.1674-4152.004110

  • Departments of Sports Medicine, Trauma, and Hand Surgery, Shangyu People ' s Hospital of Shaoxing, Shaoxing, Zhejiang 312300, China

Funds:

 2022KY149

  • Received Date: 2025-01-06
    Available Online: 2025-10-25
    Abstract
  •   Objective  To evaluate the effectiveness of a staged functional training program based on the interprofessional cooperation model (IPC) in patients with unstable distal radius fractures.  Methods  A total of 100 patients with unstable distal radius fractures admitted to the Orthopedic Department of Shangyu People ' s Hospital of Shaoxing from October 2023 to September 2024 were selected and divided into two groups by the random number table method, with 50 cases in each group. The control group received routine postoperative care, while the observation group underwent a staged functional training program after surgery. The pain intensity, wrist joint function, and upper limb function were compared between the two groups before and after the intervention.  Results  The postoperative pain intensity in the observation group was lower than that in the control group. The length of hospitalization duration and time to resolution of swelling in the affected limb were also shorter than those in the control group (P < 0.05). At 12 weeks post-intervention, both groups demonstrated significant improvements in functional status, range of motion, grip strength, and pain scores compared to baseline (P < 0.05). Furthermore, the observation group exhibited significantly better outcomes in functional status, range of motion, grip strength, and pain scores compared to the control group (P < 0.05). Additionally, both groups showed reduced disabilities of the arm, shoulder and hand (DASH) scores at 12 weeks compared to pre-intervention levels (P < 0.05), with the observation group achieving significantly lower scores than the control group (P < 0.05). In terms of complications, the observation group experienced 1 case each of postoperative joint stiffness, fixation loosening, and delayed fracture healing, resulting in a total complication rate of 6.00% (3/50), which was significantly lower than the 24.00% (12/50) observed in the control group (χ2=6.353, P=0.012).  Conclusion  The application of a staged functional training program based on the IPC model in the postoperative rehabilitation for patient with unstable distal radius fractures can alleviate early postoperative pain, promote swelling reduction in the affected limb, shorten hospital stay, facilitate wrist and upper functional recovery, and reduce the risk of postoperative complications.

     

    • FullText(HTML)
  • loading
    • References(18)
  • [1]
    YEN H K, CHANG Y L, HUANG W L, et al. Letter to the editor: How does the addition of dexamethasone to a brachial plexus block change pain patterns after surgery for distal radius fractures? A randomized, double-blind study[J]. Clin Orthop Relat Res, 2024, 482(3): 566-567. doi: 10.1097/CORR.0000000000002964
    [2]
    张积森, 方家刘, 谢武昆, 等. 组合式撑开器在难复性桡骨远端骨折治疗中的应用[J]. 中华骨科杂志, 2022, 42(5): 281-289.

    ZHANG J S, FANG J L, XIE W K, et al. Application of combined distractor in the treatment of refractory distal radius fractures[J]. Chinese Journal of Orthopaedics, 2022, 42(5): 281-289.
    [3]
    SAODEKAR H, SALPHALE Y S, SHINDE G, et al. Novel surgical method for the exposure and plating of dorsally displaced unstable distal radius fractures[J]. Trauma Case Rep, 2024, 54: 101111. DOI: 10.1016/j.tcr.2024.101111.
    [4]
    ŻYLUK A. Assessment of pain severity and grip strength as the most accurate predictors of the outcome of treatment of distal radial fractures[J]. Ortop Traumatol Rehabil, 2024, 26(2): 1-10. doi: 10.5604/01.3001.0054.6544
    [5]
    中华医学会骨科学分会创伤骨科学组, 中华医学会骨科学分会外固定与肢体重建学组. 中国成人桡骨远端骨折诊疗指南(2023)[J]. 中华创伤骨科杂志, 2023, 25(1): 6-13.

    Trauma Orthopaedic Group, Orthopaedic Branch, Chinese Medical Association, External Fixation and Limb Reconstruction Group, Orthopaedic Branch, Chinese Medical Association. Chinese guidelines for diagnosis and treatment of adult distal radius fracture (2023)[J]. Chinese Journal of Orthopaedic Trauma, 2023, 25(1): 6-13.
    [6]
    倪博然, 赵进喜, 黄为钧, 等. 基于视觉模拟评分法探究中医临床疗效评价新方法[J]. 中华中医药杂志, 2021, 36(1): 288-292.

    NI B R, ZHAO J X, HUANG W J, et al. A new method to evaluate the clinical efficacy of traditional Chinese medicine based on visual analog scoring[J]. China Journal of Traditional Chinese Medicine and Pharmacy, 2021, 36(1): 288-292.
    [7]
    许伟新. 英文版腕关节功能患者自评量表的汉化及其信度研究[J]. 中华物理医学与康复杂志, 2003, 25(8): 465-467.

    XU W X. The chinese version of the patient rated wrist evaluation (PRWE): cross-culture adaptation and reliability test[J]. Chinese Journal of Physical Medicine and Rehabilitation, 2003, 25(8): 465-467.
    [8]
    刘阳, 李建华. 中文版上肢功能障碍问卷对脑卒中上肢功能评价的信度研究[J]. 浙江医学, 2019, 41(13): 1399-1401, 1405.

    LIU Y, LI J H. Reliability of DASH questionnaire Chinese version for stroke patients[J]. Zhejiang Medical Journal, 2019, 41(13): 1399-1401, 1405.
    [9]
    何文浩, 纪亲龙. 切开复位桡骨远端掌侧钢板内固定术治疗不稳定型桡骨远端骨折临床观察[J]. 贵州医药, 2022, 46(6): 875-876.

    HE W H, JI Q L. Clinical observation of open reduction and volar plate internal fixation for unstable distal radius fractures[J]. Guizhou Medical Journal, 2022, 46(6): 875-876.
    [10]
    金文, 孙良业, 凤晓翔, 等. 尺骨茎突Ⅱ型骨折对桡骨远端骨折术后腕关节功能的影响[J]. 西部医学, 2023, 35(8): 1183-1187.

    JIN W, SUN L Y, FENG X X, et al. Effect of ulnar styloid type Ⅱ fracture on wrist function after distal radius fracture[J]. Medical Journal of Western China, 2023, 35(8): 1183-1187.
    [11]
    李阳, 谢康, 袁毅, 等. 造影下克氏针撬拨复位弹性髓内钉固定治疗低龄儿童Judet Ⅳ型桡骨颈骨折效果观察[J]. 中华全科医学, 2021, 19(9): 1459-1462. doi: 10.16766/j.cnki.issn.1674-4152.002085

    LI Y, XIE K, YUAN Y, et al. Treatment of Judet Ⅳ type radial neck fracture in young children with Kirschner wire percutaneous leverage reduction and elastic intramedullary nail fixation under elbow arthrography[J]. Chinese Journal of General Practice, 2021, 19(9): 1459-1462. doi: 10.16766/j.cnki.issn.1674-4152.002085
    [12]
    鞠英实, 孙波. 护理干预在外固定支架固定术治疗下尺桡关节脱位中的应用[J]. 北华大学学报(自然科学版), 2023, 24(6): 800-804.

    JU Y S, SUN B. Nursing intervention in treatment of lower ulnar radial dislocation with external fixation stent fixation[J]. Journal of Beihua University (Natural Science Edition), 2023, 24(6): 800-804.
    [13]
    PATHAN A, UTTAMCHANDANI S R, JAGZAPE M V, et al. Volar barton fracture and ulnar styloid fracture with distal radial ulnar joint disruption of the right wrist without neurovascular deficit[J]. Cureus, 2023, 15(10): 47864. DOI: 10.7759/cureus.47864.
    [14]
    陈波涛, 潘莎, 杨利. 带沟槽夹板固定老年桡骨远端骨折对患肢早期肿胀和血流速度的影响[J]. 中国骨伤, 2024, 37(10): 953-958.

    CHEN B T, PAN S, YANG L. Effect of groove splint fixation on early swelling and blood flow velocity of the injury limb in elderly patients with dis-tal radius fractures[J]. China Journal of Orthopaedics and Traumatology, 2024, 37(10): 953-958.
    [15]
    ZHANG J Y, SAMINENI A V, SING D C, et al. Higher-than-expected rates of distal radioulnar joint fixation in radial shaft fractures: location of fracture matters[J]. Hand (N Y), 2023, 18(2): 328-334. doi: 10.1177/15589447211006836
    [16]
    ZHANG J, BRADSHAW F, DUCHNIEWICZ M, et al. Epidemiology and incidence of upper limb fractures: a UK level 1 trauma center perspective[J]. Cureus, 2024, 16(2): 54961. DOI: 10.7759/cureus.54961.
    [17]
    YOǦUN Y, BEZIRGAN U, ERTAN M B, et al. The relationship between soong classification and fracture characteristics with implant removal for distal radius fractures: a comparative study of 795 cases[J]. Orthop Traumatol Surg Res, 2025, 17: 104172. DOI: 10.1016/j.otsr.2025.104172.
    [18]
    李静, 徐一杰, 江丽. 早期功能锻炼治疗桡骨远端骨折手法复位后动态小夹板固定患者的临床疗效[J]. 中国中西医结合外科杂志, 2024, 30(3): 338-342.

    LI J, XU Y J, JIANG L. Effect of early functional exercise on patients with distal radius fractures undergoing dynamic small splint fixation after manual reduction[J]. Chinese Journal of Integrated Traditional and Western Surgery, 2024, 30(3): 338-342.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(6)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (11) PDF downloads(0) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return