Status:
UNKNOWN
Cost-effectiveness, Volar Locking Plate or Non-operative Treatment Distal Radius Fracture
Lead Sponsor:
Karolinska Institutet
Conditions:
Radius Fractures
Aged
Eligibility:
All Genders
70+ years
Phase:
NA
Brief Summary
A cost-utility analysis based on an earlier published RCT comparing surgery with volar locking plate to non-operative treatment for the elderly with a displaced distal radius fracture.
Detailed Description
Study design: A cost-utility analysis of a patient population included in a previous published randomized controlled trial. Patient population:140 patients 70 years of age or older with a displaced d...
Eligibility Criteria
Inclusion
- Inclusion Criteria
- patient \>70 years
- wrist radiograph \>20° dorsal tilt and/or +/-4 mm axial shortening
- Exclusion Criteria
- Former disability of either wrist
- Intra-articular fractures with a step-off of \>1 mm or a gap of \> 1 mm (at Sodersjukhuset Hospital)
- High-energy trauma (Sodersjukhuset Hospital)
- Associated ulnar fracture
- Injury to ipsilateral upper extremity
- Rheumatoid arthritis or other severe joint disorders
- Dementia or Pfeiffer score of \<5 at Sodersjukhuset Hospital and \<8 at Danderyd Hospital
- Drug or alcohol abuse or psychiatric disorder
- Dependency in activities of daily living
- Patient not a resident within the catchment area of the 2 centers
- Fracture diagnosed \>3 days from injury at Sodersjukhuset Hospital and \>6 days at Danderyd Hospital
- Patient not fit for surgery or American Society of Anesthesiologists class 4
Exclusion
Key Trial Info
Start Date :
February 8 2022
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
November 4 2024
Estimated Enrollment :
140 Patients enrolled
Trial Details
Trial ID
NCT06067074
Start Date
February 8 2022
End Date
November 4 2024
Last Update
October 4 2023
Active Locations (1)
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1
Karolinska Institutet, Department of Clinical Sciences, Danderyd Hospital, Division ot Ortopeadics
Stockholm, Sweden