{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T17:56:30Z","timestamp":1764784590412,"version":"3.37.3"},"reference-count":23,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2022,3,20]],"date-time":"2022-03-20T00:00:00Z","timestamp":1647734400000},"content-version":"vor","delay-in-days":443,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2021,1,15]],"date-time":"2021-01-15T00:00:00Z","timestamp":1610668800000},"content-version":"tdm","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["e-aps.org"],"crossmark-restriction":true},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p>\n          Background  Hand fractures can be treated using various operative or nonoperative methods. When an operative technique utilizing fixation is performed, early postoperative mobilization has been advocated. We implemented a protocol involving controlled active exercise in the early postoperative period and analyzed the outcomes.<\/jats:p><jats:p>\n          Methods  Patients who were diagnosed with proximal phalangeal or metacarpal fractures of the second to fifth digits were included (n=37). Minimally invasive open reduction and internal fixation procedures were performed. At 3 weeks postoperatively, controlled active exercise was initiated, with stress applied against the direction of axial loading. The exercise involved pain-free active traction in three positions (supination, neutral, and pronation) between 3 and 5 weeks postoperatively. Postoperative radiographs and range of motion (ROM) in the interphalangeal and metacarpophalangeal joints were analyzed.<\/jats:p><jats:p>\n          Results  Significant improvements in ROM were found between 6 and 12 weeks for both proximal phalangeal and metacarpal fractures (P&lt;0.05). At 12 weeks, 26 patients achieved a total ROM of more than 230\u00b0 in the affected finger. Postoperative radiographic images demonstrated union of the affected proximal phalangeal and metacarpal bones at a 20-week postoperative follow-up.<\/jats:p><jats:p>\n          Conclusions  Minimally invasive open reduction and internal fixation minimized periosteal and peritendinous dissection in hand fractures. Controlled active exercise utilizing pain-free active traction in three different positions resulted in early functional exercise with an acceptable ROM.<\/jats:p>","DOI":"10.5999\/aps.2020.01739","type":"journal-article","created":{"date-parts":[[2021,1,21]],"date-time":"2021-01-21T02:27:00Z","timestamp":1611196020000},"page":"98-106","update-policy":"https:\/\/doi.org\/10.5999\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Controlled active exercise after open reduction and internal fixation of hand fractures"],"prefix":"10.1055","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9017-9929","authenticated-orcid":false,"given":"Dongkeun","family":"Jun","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Konkuk University School of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8716-3109","authenticated-orcid":false,"given":"Jaehyun","family":"Bae","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Konkuk University School of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8450-4411","authenticated-orcid":false,"given":"Donghyeok","family":"Shin","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Konkuk University School of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3816-1286","authenticated-orcid":false,"given":"Hyungon","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Konkuk University School of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4080-6135","authenticated-orcid":false,"given":"Jeenam","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Konkuk University School of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9721-0092","authenticated-orcid":false,"given":"Myungchul","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Konkuk University School of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,3,20]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"1747","DOI":"10.1007\/s11999-014-4079-7","article-title":"Antegrade intramedullary pinning versus retrograde intramedullary pinning for displaced fifth metacarpal neck 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