Early Mobilization of Operatively Stabilized Distal Radius Fractures - a Randomized Controlled Trail

The purpose of this study is to evaluate if an early mobilization after distal radius fractures treated by surgery leads to an better functional outcome then immobilization after surgery for 5 weeks in a cast

All patients with a distal radius fracture treated by surgery (palmar angle stable plate) will be included in this study and randomised into two groups according the CONSORT Guidelines of Prospective Randomised Trails. One group ("early mobilisation") receive a removable plastic cast for one week and are allowed to move the wrist directly postoperative. The other group ("control group") received a non removable cast for 5 weeks. Both groups underwent physiotherapy two times a week. The control group was only allowed to move the closed-by joints. In the 6., 9., 12. postoperative week, a half and one year after the operation the patients underwent range of motion (ROM), grip strength measurement and pain according to the visual analogue scale (VAS). Hand function will be analysed according the PRWE (Patient-Rated Wrist Evaluation) Score, DASH (Disabilities of the Arm, Shoulder and Hand) Score and Mayo Wrist Score. Inclusion criteria: Age ≥ 18 and ≤ 75 years A2 - C3 distal radius fracture no acute or older injury that influences hand function operative stabilized by palmar angle stable plate Exclusion criteria: Age ≥ 76 years Age < 18 years C3.3 radius fracture acute or preexisting injures that influences hand function pregnancy neurologic disorders incapacitated people

receives a removable plastic cast for one week and is allowed to move the wrist directly postoperative. Interventions: Range of Motion measurement (ROM), Grip strength measurement, VAS Score according to the visual analogue scale (). Questionnaire: PRWE Score, DASH Score and Mayo Wrist Score. X- Rays in two planes. Follow-up: 6., 9., 12. postoperative week, a half and one year after surgery

receives a non removable cast for 5 weeks Interventions: Range of Motion measurement (ROM), Grip strength measurement, VAS Score according to the visual analogue scale (). Questionnaire: PRWE Score, DASH Score and Mayo Wrist Score. X- Rays in two planes. Follow-up: 6., 9., 12. postoperative week, a half and one year after surgery

Functional Outcome as measured by Patient - Rated Wrist Evaluation Score Patient - Functional Outcome as measured by Rated Wrist Evaluation (PRWE) Score

Inclusion Criteria: Age ≥ 18 and ≤ 75 years A2 - C3 distal radius fracture no acute or older injury that influences hand function operative stabilized by palmar angle stable plate Exclusion Criteria: Age ≥ 76 years Age < 18 years C3.3 radius fracture acute or preexisting injures that influences hand function pregnancy neurologic disorders incapacitated people