Early Functional Outcomes After Closed Reduction With Pinning Versus Open Reduction Internal Fixation of Wrist Fractures

Status:

COMPLETED

Early Functional Outcomes After Closed Reduction With Pinning Versus Open Reduction Internal Fixation of Wrist Fractures

Lead Sponsor:

Beth Israel Deaconess Medical Center

Conditions:

Wrist Fractures

Eligibility:

All Genders

18+ years

Phase:

Brief Summary

The purpose of this study is to compare early return to function in patients treated with closed reduction percutaneous pinning and open reduction internal fixation in displaced fractures of the dista...

Eligibility Criteria

Inclusion

18 years or greater
Patient functions independently
Dorsally displaced, extra-articular fracture (Colles' fracture); or simple intra-articular fracture with a single split between the scaphoid and lunate facets.
Isolated injury (no other injuries).
One of the following criteria:
Substantial initial displacement
Greater than 20 degrees dorsal angulation of the articular surface on the lateral view.
Greater than 100% loss of apposition.
Greater than 5 millimeters of shortening by ulnar variance on the posteroanterior radiograph.
Greater than 2 millimeters articular incongruity (step or gap).
Both dorsal and volar comminution. Inadequate initial manipulative reduction
Greater than 5 degrees of dorsal angulation of the articular surface on the lateral radiograph.
Greater than 3 millimeters of radial shortening by ulnar variance on the posteroanterior radiograph.
Greater than 2 millimeters articular incongruity.
Bayonett apposition of the volar cortex.
Less than 15 degrees of ulnarward inclination of the articular surface in the posteroanterior radiograph. Loss of reduction within 3 weeks of injury.
Any of the following changes in alignment from the initial post- reduction radiographs qualify:
5 degrees or greater loss of palmar tilt of the articular surface on the lateral radiograph.
2 millimeters or greater loss of radial height by ulnar variance on the posteroanterior radiograph.
5 degrees or greater loss of ulnarward inclination of the articular surface of the distal radius on the posteroanteriorradiograph.
2 millimeters or greater articular incongruity.

Exclusion

More complex articular fractures (i.e. anything more than a simple sagittal split between the scaphoid and lunate facets).
Volarly displaced fractures.
Infirm patients.
Patients that rely on others for basic functional activities.
Open fractures
Fractures associated with neurovascular injury.
Fractures associated with major head, neurological, or visceral injuries that will inhibit the ability to participate in a structured exercise program.
Associated musculoskeletal injuries to the same arm.

Key Trial Info

Start Date :

Trial Type :

INTERVENTIONAL

End Date :

Estimated Enrollment :

Patients enrolled

Trial Details

Trial ID

NCT00828685

Last Update

February 7 2017

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