Controversies in the management of distal radius fractures.
Kenneth Koval, George J Haidukewych, Benjamin Service...
https://pubmed.ncbi.nlm.nih.gov/25157038/Actively Recruiting
Led by Hospital Costa del Sol · Updated on 2023-08-31
120
Participants Needed
2
Research Sites
N/A
Total Duration
Researchers are comparing the functional and radiological outcomes of two different immobilization methods in patients with distal radius fractures treated with internal fixation using a volar locking plate. The study also aims to evaluate possible complications following these treatments. The study focuses on patients aged 18 to 75 years with specific types of distal radius fractures classified under the AO system. Participants are divided into two groups one group receives immobilization with a forearm plaster splint for three weeks after surgery, while the other group receives immobilization with a compressive bandage for the same duration. Both groups undergo internal fixation with a volar locking plate prior to immobilization. The hypothesis is that the compression bandage may offer better short-term results, while no significant difference is expected after three to six months. During the study, participants pain levels will be assessed using the Visual Analogue Scale, and wrist function will be measured with the Patient Rated Wrist Evaluation Scale over one year. Range of motion in various directions will also be evaluated, along with postoperative complications and the time of fracture healing seen on radiographs within 12 weeks. Additional function scales, number of physiotherapy sessions, and fracture stability criteria will be recorded. The total participation period includes follow-up for up to one year to monitor recovery and outcomes.
CONDITIONS
Inmobilization With Compression Bandage vs Antebraquial Splint in Distal Radius Fractures
J
Jose Ignacio Miró Jiménez, MD
A
Alberto Izquierdo Fernández, Phd
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Hospital Costa del Sol
Lead Sponsor
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 1 day
Participants undergo open reduction and internal fixation of distal radius fractures with a volar locking plate.
1 visit (in-person)
Duration - 3 weeks
Participants are immobilized using either a forearm splint or a compression bandage for 3 weeks following surgery.
1 to 2 visits depending on immobilization method
Duration - Up to 1 year
Participants are followed up to assess pain, function, range of motion, fracture healing, and complications for up to 1 year after treatment.
Regular follow-up visits over 1 year
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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Lead Sponsor