Recovery of post-arthrodesis hand function in the interphalan-geal joint - Case presentation

Abstract

Objectives. The paper highlights the importance of the kinetic recovery program used to regain post-arthrodesis hand function in the interphalangeal joint. Also, during the paper we will present both the techniques used and the methods applied in order to reduce pain and recover the remaining functional. Materials and method. During the study, a patient with open intra-articular communicative fractures AIFP D3, 4 in the right hand with bone-operated defect was analyzed. The patient was evaluated functionally postoperatively, during the recovery program and at the end of it. Results. During the recovery program, a progress and a good evolution of the hand functionality could be observed. Thus, the patient observed the kinetic program initially established by the physiotherapist and also it was possible to observe the increase of the mobility of the joints in the vicinity of the joints affected by the immobilization of the hand. During the recovery program, a decrease in edema was observed locally and an increase in the strength of the muscles of the hand. Conclusions. The physiotherapy program used to restore the functionality of the hand following arthrodesis at the level of the interphalangeal joints must be preceded by an appropriate evaluation and must include techniques adapted to the patient's abilities. An essential condition is a good collaboration between patient-physiotherapist-orthopedic surgeon, so that complications and recurrences can be avoided.