Distal Radius Fractures: Treatment, Recovery, and Rehabilitation

Question about right distal radius fracture?

Hello, doctor.
My cousin (45 years old), who works as a life insurance agent, had an accident two days ago while collecting insurance premiums and fell off his motorcycle, resulting in a distal radius fracture on the right side.
I would like to ask: 1.
Is it better not to use surgical treatment? 2.
If surgical treatment is chosen, how long will it take to recover before he can return to work? 3.
The doctor mentioned future rehabilitation issues; does he need to do rehabilitation every day, and will it be very troublesome? 4.
After finishing the hospital visit, is there a risk of surgical complications that could lead to disability? I would appreciate it if you could provide detailed answers to these questions, as my cousin's wife is quite worried about this accident.
I want to understand the details so I can explain them to her and alleviate her concerns.
Thank you.

Li, 30~39 year old female. Ask Date: 2004/02/05

Dr. Chen Xingyuan reply Orthopedics

Dear Mr.
Lee,
Distal radius fractures are a common type of fracture.
Whether surgical treatment is necessary depends on the type of fracture, age, and overall health of the patient.
Generally, younger patients require more aggressive treatment.
The goal of surgery is to minimize complications and enhance functional recovery.
However, surgery does carry risks, such as anesthesia complications, wound infections, and surgical errors.
That said, if precautions are taken, these risks are relatively low!
Regardless of whether surgery is performed, wrist function typically takes at least 2 to 3 months to recover.
Some patients can achieve good recovery through home exercises guided by their physician, while others may require assistance from a rehabilitation department.
Spending time on rehabilitation to improve wrist function is worthwhile; do not be afraid of the effort, as it helps minimize the long-term impact of the injury.
After all, hands are used for a lifetime!
If you have concerns about surgery, you may consult your original treating physician or seek opinions from other orthopedic specialists.
The duration of recovery before returning to work depends on individual job requirements, the severity of the injury, and the progress of rehabilitation, and it varies from person to person.
However, most individuals require 1 to 2 months of recovery.
Instead of worrying, it is better to communicate with your physician to clarify any concerns and follow the advice of a professional.
This is the best choice.
Wishing you peace and health!
Sincerely,
Dr.
Chen

Reply Date: 2004/02/05

More Info

Understanding distal radius fractures is crucial, especially for someone like your cousin who has recently experienced this type of injury. Let's address your questions systematically.

1. Surgical vs. Non-Surgical Treatment: The decision to opt for surgical treatment depends on several factors, including the type and severity of the fracture, the patient's age, activity level, and overall health. Non-surgical treatment, typically involving immobilization with a cast or splint, is often suitable for non-displaced fractures. However, if the fracture is displaced or involves joint surfaces (intra-articular fractures), surgery may be necessary to realign the bones and ensure proper healing. In your cousin's case, if the fracture is stable and well-aligned, non-surgical treatment might be sufficient. However, if there is significant displacement or if the fracture is unstable, surgical intervention would be recommended.

2. Recovery Time After Surgery: If surgery is performed, the recovery time can vary. Generally, patients can expect to be in a cast or splint for about 6-8 weeks post-surgery. After this period, physical therapy will likely begin to restore range of motion and strength. Most patients can return to light activities within 3 months, but full recovery, including the ability to perform more demanding tasks, may take up to 6 months or longer, depending on the individual’s healing process and adherence to rehabilitation protocols.

3. Rehabilitation: Rehabilitation is a critical component of recovery from a distal radius fracture. While it may seem daunting, attending physical therapy sessions is essential for regaining strength and mobility in the wrist. Typically, patients are encouraged to engage in rehabilitation exercises daily or several times a week. The therapist will guide your cousin through exercises tailored to his specific needs, which can help alleviate stiffness and improve function. Although it may require a commitment of time and effort, the benefits of rehabilitation far outweigh the inconvenience, as it significantly enhances recovery outcomes.

4. Risks of Surgery: As with any surgical procedure, there are risks involved, including infection, nerve damage, and complications related to anesthesia. However, when performed by a skilled orthopedic surgeon, the likelihood of severe complications leading to disability is low. It's essential for your cousin to follow post-operative care instructions closely and attend follow-up appointments to monitor healing and address any concerns promptly.
In summary, the management of distal radius fractures involves a careful assessment of the injury type and patient-specific factors. Whether opting for surgical or non-surgical treatment, the focus should be on ensuring proper alignment and stabilization of the fracture, followed by a structured rehabilitation program to restore function. Encourage your cousin and his wife to communicate openly with their healthcare provider about any concerns they have, as this can help alleviate anxiety and ensure a smoother recovery process.

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