Scaphoid Fixation
Conditions
Brief summary
There is poor research supporting the benefits of Early Active Controlled Motion (EACM) protocols post operative scaphoid fixation. Advances in surgical fixation technique for scaphoid fractures should allow for start of earlier mobilization, however there is little evidence in the literature that supports the use of these protocols within the early phases of healing. The study uses a pre-experimental design with purposeful sample population recruitment.
Interventions
OTHEREarly Active Controlled Motion (EACM)
Early active controlled wrist motion rehab protocol using that will allow midcarpal row motion.
Sponsors
Performance Health
University of Florida
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
* Date of injury and diagnosis: scaphoid fracture less than 3 weeks old * Waist fractures in the middle 1/3 and distal pole 1/3 of scaphoid bone. * Surgical procedure includes ORIF with screw fixation and/or percutaneous pin with screw fixation. * To be included in the study the patient needs to have started rehab within the first 10 days after surgery date.
Exclusion criteria
* Proximal pole scaphoid fracture * Past medical history of diabetes and other peripheral vascular disorders. * History of osteopenia and osteoporosis. * Previously failed ORIF of scaphoid * Neurovascular or nerve lesion to the involved upper extremity * Cognitive deficits related to memory, attention span, judgment as documented in the EMR or need for a legal guardian to be a medical proxy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| functional outcome range of motion | at entry and up to 12 months | Using a goniometer measuring the angle of wrist flexion and extension NEED TO ENTER EXPECTED ROM ranges |
Outcome results
None listed