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Rehabilitation Principles Following Minimally Invasive Fracture Fixation

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Intraarticular Fractures

Abstract

Intra-articular fracture management can be challenging when the patient desires to return to high loading or repetitive use of vocational or sports activities that involve the injured joint. Joint preservation and osteoarthritis prevention serve as the primary focus of therapeutic intervention. This chapter comprehensively reviews intra-articular fracture rehabilitation considerations.

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References

  • Ackerson R, Nguyen A, Carry PM, Pritchard B, Hadley-Miller N, Scott F (2015) Intra-articular radial head fractures in the skeletally immature patient: complications and management. J Pediatr Orthop 35:443–448

    Article  Google Scholar 

  • Anavian J, Gauger EM, Schroder LK, Wijdicks CA, Cole PA (2012) Surgical and functional outcomes after operative management of complex and displaced intra-articular glenoid fractures. J Bone Joint Surg Am 94:645–653

    Article  Google Scholar 

  • Auer RT, Mazzone P, Robinson L, Nyland J, Chan G (2016) Childhood obesity increases the risk of failure in the treatment of distal forearm fractures. J Pediatr Orthop 36:e86–e88

    Article  Google Scholar 

  • Balthrop PM, Nyland J, Roberts CS (2009) Risk factors and musculoskeletal injuries associated with all-terrain vehicle accidents. J Emerg Med 36:121–131

    Article  Google Scholar 

  • Bansal H, Bansal A, Agrawa D, Singh D, Deb K (2014) Chondroprotection using naturally occurring mineral supplementation formula in degenerative osteoarthritis of the knees. J Stem Cells 9:65–76

    PubMed  Google Scholar 

  • Beirer M, Friese H, Lenich A et al (2017) The Elbow Self-Assessment Score (ESAS): development and validation of a new patient-reported outcome measurement tool for elbow disorders. Knee Surg Sports Traumatol Arthrosc 25:2230–2236

    Article  Google Scholar 

  • Bianchi G, Staals EL, Donati D, Mercuri M (2009) The use of unicondylar osteoarticular allografts in reconstructions around the knee. Knee 16:1–5

    Article  Google Scholar 

  • Brand E, Nyland J, Henzman C, McGinnis M (2013) Arthritis self-efficacy scale scores in knee osteoarthritis: a systematic review and meta-analysis comparing arthritis self-management education with or without exercise. J Orthop Sports Phys Ther 43:895–910

    Article  Google Scholar 

  • Caborn D, Rush J, Lanzer W, Parenti D, Murray C (2004) Synvisc 901 Study Group. A randomized, single-blind comparison of the efficacy and tolerability of hylan G-F 20 and triamcinolone hexacetonide in patients with osteoarthritis of the knee. J Rheumatol 31:333–343

    CAS  PubMed  Google Scholar 

  • Chaudhari AM, Hearn BK, Andriacchi TP (2005) Sport-dependent variations in arm position during single-limb landing influence knee loading: implications for anterior cruciate ligament injury. Am J Sports Med 33:824–830

    Article  Google Scholar 

  • Chubinskaya S, Haudenschild D, Gasser S, Stannard J, Krettek C, Borrelli J Jr (2015) Articular cartilage injury and potential remedies. J Orthop Trauma 29(Suppl 12):S47–S52

    Article  Google Scholar 

  • Colegate-Stone T, Marenah K, Compson J, Tahmassebi R, Tavakkolizadeh A (2015) Functional outcomes following pilon fractures of the middle phalanx managed with the ligamentotaxor external fixator. Hand Surg 20:285–289

    Article  Google Scholar 

  • Crossley KM, Zhang WJ, Schache AG, Bryant A, Cowan SM (2011) Performance on the single-leg squat task indicates hip abductor muscle function. Am J Sports Med 39:866–873

    Article  Google Scholar 

  • Dolak KL, Silkman C, Medina McKeon J, Hosey RG, Lattermann C, Uhl TL (2011) Hip strengthening prior to functional exercises reduces pain sooner than quadriceps strengthening in females with patellofemoral pain syndrome: a randomized clinical trial. J Orthop Sports Phys Ther 41:560–570

    Article  Google Scholar 

  • Driscoll M, Blyum L (2011) The presence of physiological stress shielding in the degenerative cycle of musculoskeletal disorders. J Bodyw Mov Ther 15:335–342

    Article  CAS  Google Scholar 

  • Duda GN, Taylor WR, Winkler T et al (2008) Biomechanical, microvascular, and cellular factors promote muscle and bone regeneration. Exerc Sport Sci Rev 36:64–70

    Article  Google Scholar 

  • Dwyer MK, Boudreau SN, Mattacola CG, Uhl TL, Lattermann C (2010) Comparison of lower extremity kinematics and hip muscle activation during rehabilitation tasks between sexes. J Athl Train 45:181–190

    Article  Google Scholar 

  • Ebrahim S, Mollon B, Bance S, Busse JW, Bhandari M (2014) Low-intensity pulsed ultrasonography versus electrical stimulation for fracture healing: a systematic review and network meta-analysis. Can J Surg 57:E105–E118

    Article  Google Scholar 

  • Eismann EA, Stephan ZA, Mehlman CT et al (2015) Pediatric triplane ankle fractures: Impact of radiographs and computed tomography on fracture classification and treatment planning. J Bone Joint Surg Am 97:995–1002

    Article  Google Scholar 

  • Farsetti P, Caterini R, Potenza V et al (2009) Immediate continuous passive motion after internal fixation of an ankle fracture. J Orthop Trauma 10:63–69

    Article  Google Scholar 

  • Fitzgerald GK (2005) Therapeutic exercise for knee osteoarthritis: considering factors that may influence outcome. Eura Medicophys 41:163–171

    CAS  PubMed  Google Scholar 

  • Fitzgerald GK, Lephart SM, Hwang JH, Wainner RS (2001) Hop tests as predictors of dynamic knee stability. J Orthop Sports Phys Ther 31:588–597

    Article  CAS  Google Scholar 

  • Ghazi C, Nyland J, Whaley R, Rogers T, Wera J, Henzman C (2018) Social cognitive or learning theory use to improve self-efficacy in musculoskeletal rehabilitation: a systematic review and meta-analysis. Physiother Theory Pract 34:495–504

    Article  Google Scholar 

  • Granata KP, Padua DA, Wilson SE (2002a) Gender differences in active musculoskeletal stiffness. Part II. Quantification of leg stiffness during functional hopping tasks. J Electromyogr Kinesiol 12:127–135

    Article  CAS  Google Scholar 

  • Granata KP, Wilson SE, Padua DA (2002b) Gender differences in active musculoskeletal stiffness Part I. Quantification in controlled measurements of knee joint dynamics. J Electromyogr Kinesiol 12:119–126

    Article  Google Scholar 

  • Gupta A, Redmond JM, Stake CE, Dunne KF, Hammarstedt JE, Domb BG (2016) Outcomes of revision hip arthroscopy: 2-Year clinical follow-up. Arthroscopy 32:788–797

    Article  Google Scholar 

  • Haller JM, Potter MQ, Kubiak EN (2013) Weight bearing after a periarticular fracture. What is the evidence? Orthop Clin N Am 44:509–519

    Article  Google Scholar 

  • Hewett TE, Stroupe AL, Nance TA, Noyes FR (1996) Plyometric training in female athletes. Decreased impact forces and increased hamstring torques. Am J Sports Med 24:765–773

    Article  CAS  Google Scholar 

  • Jakhotia KA, Shimpi AP, Rairikar SA et al (2015) An equivalent approach towards management of physical fitness in obese females. Int J Yoga 8:27–36

    Article  Google Scholar 

  • Jamison L, Ogden D (1994) Aquatic Therapy Using PNF Patterns. Therapy Skill Builders, San Antonio, Texas, USA

    Google Scholar 

  • Joseph M, Tiberio D, Baird JL, Trojian TH, Anderson JM, Kraemer WJ, Maresh CM (2008) Knee valgus during drop jumps in National Collegiate Athletic Association Division I female athletes: the effect of a medial post. Am J Sports Med 36:285–289

    Article  Google Scholar 

  • Lachiewicz PF, Funcik T (1990) Factors influencing the results of open reduction and internal fixation of tibial plateau fractures. Clin Orthop Relat Res 259:210–215

    Google Scholar 

  • LaStayo PC, Winters KM, Hardy M (2003a) Fracture healing: bone healing, fracture management, and current concepts related to the hand. J Hand Ther 16:81–93

    Article  Google Scholar 

  • LaStayo PC, Woolf JM, Lewek MD, Snyder-Mackler L, Reich T, Lindstedt SL (2003b) Eccentric muscle contractions: their contribution to injury, prevention, rehabilitation, and sport. J Orthop Sports Phys Ther 33:557–571

    Article  Google Scholar 

  • Lewek MD, Rudolph KS, Snyder-Mackler L (2004a) Control of frontal plane knee laxity during gait in patients with medial compartment knee osteoarthritis. Osteoarthritis Cartilage 12:745–751

    Article  Google Scholar 

  • Lewek MD, Rudolph KS, Snyder-Mackler L (2004b) Quadriceps femoris muscle weakness and activation failure in patients with symptomatic knee osteoarthritis. J Orthop Res 22:110–115

    Article  Google Scholar 

  • Liodaki E, Xing SG, Mailaender P, Stang F (2015) Management of difficult intra-articular fractures or fracture dislocations of the proximal interphalangeal joint. J Hand Surg Eur Vol 40:16–23

    Article  CAS  Google Scholar 

  • Lubowitz JH, Elson WS, Guttmann D (2004) Part I: Arthroscopic management of tibial plateau fractures. Arthroscopy 20:1063–1070

    Article  Google Scholar 

  • Lubowitz JH, Elson WS, Guttmann D (2005) Part II: arthroscopic treatment of tibial plateau fractures: intercondylar eminence avulsion fractures. Arthroscopy 21:86–92

    Article  Google Scholar 

  • Macintyre PE, Walker S, Power I, Schug SA (2006) Acute pain management: scientific evidence revisited. Br J Anaesth 96:1–4

    Article  CAS  Google Scholar 

  • Maly MR, Costigan PA, Olney SJ (2005) Contribution of psychosocial and mechanical variables to physical performance measures in knee osteoarthritis. Phys Ther 85:1318–1328

    PubMed  Google Scholar 

  • Manske R, Reiman M (2013) Functional performance testing for power and return to sports. Sports Health 5:244–250

    Article  Google Scholar 

  • Margles SW (1988) Intra-articular fractures of the metacarpophalangeal and proximal interphalangeal joints. Hand Clin 4:67–74

    CAS  PubMed  Google Scholar 

  • Martin RL, Irrgang JJ (2007) A survey of self-reported outcome instruments for the foot and ankle. J Orthop Sports Phys Ther 37:72–84

    Article  Google Scholar 

  • Marx RG, Stump TJ, Jones EC, Wickiewicz TL, Warren RF (2001) Development and evaluation of an activity rating scale for disorders of the knee. Am J Sports Med 29:213–218

    Article  CAS  Google Scholar 

  • McPhail SM, Bagraith KS, Schippers M, Wells PJ, Hatton A (2012) Use of condition-specific patient-reported outcome measures in clinical trials among patients with wrist osteoarthritis: a systematic review. Adv Orthop 2012:273421. https://doi.org/10.1155/2012/273421

    Article  PubMed  PubMed Central  Google Scholar 

  • Mueller MJ, Maluf KS (2002) Tissue adaptation to physical stress: a proposed “physical stress theory” to guide physical therapist practice, education, and research. Phys Ther 82:383–403

    PubMed  Google Scholar 

  • Nelson ME, Fiatarone MA, Morganti CM, Trice I, Greenberg RA, Evans WJ (1994) Effects of high-intensity strength training on multiple risk factors for osteoporotic fractures. A randomized controlled trial. JAMA 272:1909–1914

    Article  CAS  Google Scholar 

  • Nguyen J, Marx R, Hidaka C, Wilson S, Lyman S (2016) Validation of electronic administration of knee surveys among ACL-injured patients. Knee Surg Sports Traumatol Arthrosc 25:3116–3122

    Article  Google Scholar 

  • Nyland J (2012) Therapeutic progressions for developing neuromuscular control in the kinetic chain. Monograph to be included in Orthopaedic Section Independent Study Course 22.1, Education and Intervention for Musculoskeletal Injuries: A Biomechanics Approach. AOPT, Lacrosse, WI, USA. pp. 1–36

    Google Scholar 

  • Nyland J, Campbell K, Kalloub A, Strauss EJ, Kuban K, DNM C (2018) Medial meniscus grafting restores normal tibiofemoral contact pressures. Arch Orthop Trauma Surg 138:361–367

    Article  Google Scholar 

  • Nyland J, Lachman N, Kocabey Y, Brosky J, Altun R, Caborn D (2005) Anatomy, function, and rehabilitation of the popliteus musculotendinous complex. J Orthop Sports Phys Ther 35:165–179

    Article  Google Scholar 

  • Nyland J, Kanouse Z, Krupp R, Caborn D, Jakob R (2011) Total knee arthroplasty in motivated patients with knee osteoarthritis and athletic activity approach type goals: a conceptual decision-making model. Disabil Rehabil 33:1683–1692

    Article  Google Scholar 

  • Nyland J, Mattocks A, Kibbe S, Kalloub A, Greene JW, Caborn DN (2016) Anterior cruciate ligament reconstruction, rehabilitation, and return to play: 2015 update. Open Access J Sports Med 7:21–32

    Article  Google Scholar 

  • Onderko LL, Rehman S (2013) Treatment of articular fractures with continuous passive motion. Orthop Clin N Am 44:345–356

    Article  Google Scholar 

  • Placzek JD, Lukens SC, Badalanmenti S et al (2004) Shoulder outcome measures: a comparison of 6 functional tests. Am J Sports Med 32:1270–1277

    Article  Google Scholar 

  • Powers CM (2003) The influence of altered lower-extremity kinematics on patellofemoral joint dysfunction: a theoretical perspective. J Orthop Sports Phys Ther 33:639–646

    Article  Google Scholar 

  • Quatman CE, Ford KR, Myer GD, Hewett TE (2006) Maturation leads to gender differences in landing force and vertical jump performance: a longitudinal study. Am J Sports Med 34:806–813

    Article  Google Scholar 

  • Räisänen A, Pasanen K, Krosshaug T, Avela J, Perttunen J, Parkkari J (2016) Single-leg squat as a tool to evaluate young athletes’ frontal plane knee control. Clin J Sport Med 26:478–482

    Article  Google Scholar 

  • Ricci WM, Black JC, Tornetta P 3rd, Gardner MJ, McAndrew CM, Sanders RW (2016) Current opinions on fracture follow-Up: a survey of OTA members regarding standards of care and implications for clinical research. J Orthop Trauma 30:e100–e105

    Article  Google Scholar 

  • Salter RB (1994) The physiologic basis of continuous passive motion for articular cartilage healing and regeneration. Hand Clin 10:211–219

    CAS  PubMed  Google Scholar 

  • Salter RB, Simmonds D, Malcolm B et al (1980) The biological effect of continuous passive motion on the healing of full-thickness defects in articular cartilage. J Bone Joint Surg Am 62:1232–1251

    Article  CAS  Google Scholar 

  • Schillhammer CK, Reid JB 3rd, Rister J et al (2016) Arthroscopy up to date: anterior cruciate ligament anatomy. Arthroscopy 32:209–212

    Article  Google Scholar 

  • Shelburne KB, Kim HJ, Sterett WI, Pandy MG (2011) Effect of posterior tibial slope on knee biomechanics during functional activity. J Orthop Res 29:223–231

    Article  Google Scholar 

  • Siddall PJ, Cousins MJ (2004) Persistent pain as a disease entity: implications for clinical management. Anesth Analg 99:510–520

    Article  Google Scholar 

  • Simondson D, Brock K, Cotton S (2012) Reliability and smallest real difference of the ankle lunge test post ankle fracture. Man Ther 17:34–38

    Article  Google Scholar 

  • Tegner Y, Lysholm J (1985) Rating systems in the evaluation of knee ligament injuries. Clin Orthop Relat Res 198:43–49

    Google Scholar 

  • Thomas TP, Anderson DD, Willis AR, Liu P, Marsh JL, Brown TD (2011) ASB Clinical Biomechanics Award Paper 2010 Virtual pre-operative reconstruction planning for comminuted articular fractures. Clin Biomech (Bristol, Avon) 26:109–115

    Article  Google Scholar 

  • Turhan E, Doral MN, Demirel M et al (2013) Arthroscopy-assisted reduction versus open reduction in the fixation of medial malleolar fractures. Orthop Surg Traumatol 23:953–959

    Article  Google Scholar 

  • Vandenberghe D, Cuypers L, Rombouts L et al (1990) Internal fixation of tibial plateau fractures using the AO instrumentation. Acta Orthop Belg 56:431–442

    CAS  PubMed  Google Scholar 

  • Weng MC, Lee CL, Chen CH, Hsu JJ, Lee WD, Huang MH, Chen TW (2009) Effects of different stretching techniques on the outcomes of isokinetic exercise in patients with knee osteoarthritis. Kaohsiung J Med Sci 25:306–315

    Article  Google Scholar 

  • Wojtys EM, Huston LJ, Schock HJ, Boylan JP, Ashton-Miller JA (2003) Gender differences in muscular protection of the knee in torsion in size-matched athletes. J Bone Joint Surg Am 85:782–789

    Article  Google Scholar 

  • Wolf SL, Barnhart HX, Ellison GL, Coogler CE (1997) The effect of Tai Chi Quan and computerized balance training on postural stability in older subjects. Atlanta FICSIT Group. Frailty and Injuries: cooperative studies on intervention techniques. Phys Ther 77:371–381

    Article  CAS  Google Scholar 

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Authors and Affiliations

  1. Kosair Charities College of Health and Natural Sciences, Spalding University Louisville, Louisville, KY, USA

    John Nyland

  2. Department of Orthopaedic Surgery, University of Louisville, Louisville, KY, USA

    John Nyland

  3. Department of Physiotherapy and Rehabilitation, Uskudar University, Istanbul, Turkey

    Defne Kaya

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  1. John Nyland
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  2. Defne Kaya
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Correspondence to John Nyland .

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Editors and Affiliations

  1. Department of Orthopedics and Traumatology, T.C. Ufuk University, Ankara, Turkey

    Mahmut Nedim Doral

  2. Department of Orthopaedics, Sahlgrenska Academy, University of Gothenburg, Mölndal, Sweden

    Jón Karlsson

  3. Kosair Charities College of Health and Natural Sciences, Spalding University, Louisville, KY, USA

    John Nyland

  4. Helfentalweg 1A, Landeskrankenhaus Feldkirch Abt. Unfallchirurgie, Innsbruck, Austria

    Karl Peter Benedetto

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Nyland, J., Kaya, D. (2019). Rehabilitation Principles Following Minimally Invasive Fracture Fixation. In: Doral, M., Karlsson, J., Nyland, J., Benedetto, K. (eds) Intraarticular Fractures. Springer, Cham. https://doi.org/10.1007/978-3-319-97602-0_6

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  • DOI: https://doi.org/10.1007/978-3-319-97602-0_6

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