Distal radius fractures
Conditions
Interventions
Experimental group:Sensor-assisted precise dynamic compression plaster fixation. A FlexiForce A201 flexible thin-film pressure sensor (measurement range 0-2.5 N/cm2, accuracy ±5%) is calibrated with s
if repeated attempts fail to achieve target, perform X-ray and consider recasting. All patients receive standardized staged plaster: 3 weeks of forearm U-shaped cast followed by 3 weeks of short-arm c
Control group:Conventional empirical plaster adjustment. No pressure sensor is used. A standard 2mm-thick cotton pad is placed at the same anatomical location and fixed with tape. At the same time poi
cast too tight if persistent numbness, capillary refill time >2 seconds, severe pain, or tension blisters ? remove 1-2 layers of bandage or split/remake cast
normal if 1 finger can be inserted without neurovascular compromise ? no adjustment. Cast protocol, hospitalization, and fo
Sponsors
Shanghai Second People's Hospital
Eligibility
Sex/Gender
All
Age
60 Years to 78 Years
Inclusion criteria
Inclusion criteria: 1.Unilateral distal radius fracture, Fernandez type I or II; 2.Age between 60 and 78 years (inclusive); 3.Time from injury =7 days; 4.Successful closed reduction with post-reduction radiographs meeting all of the following criteria: radial height loss <2mm, palmar tilt loss <5°, ulnar deviation loss <5°, articular step <1mm; 5.Willing to be hospitalized for 7-10 days for standardized monitoring and complete 12-month follow-up; 6.Able to understand and comply with study procedures; 7.Provide written informed consent; 8.No use of active anti-osteoporosis medication within 3 months before injury, or willing to maintain consistent anti-osteoporosis treatment during the study period.
Exclusion criteria
Exclusion criteria: 1.Concomitant fractures of the same upper extremity (scaphoid, ulna, humerus); 2.Severe soft tissue injury (Gustilo grade =II), vascular injury, or nerve injury requiring surgical treatment; 3.Severe medical diseases (uncontrolled hypertension, diabetes with complications, severe heart/lung/kidney disease) or psychiatric disorders that prevent cooperation with the study; 4.Severe wrist dysfunction due to previous injury or arthritis (Gartland-Werley score >10); 5.Pathological fracture due to malignancy or infection; 6.Participation in other clinical trials within the previous 3 months; 7.Known allergy to plaster, cotton materials, or medical tape.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Fracture redisplacement rate; | — |
Secondary
| Measure | Time frame |
|---|---|
| Gartland-Werley wrist function score;Visual Analog Scale (VAS) pain score;Complication rate;Surgical conversion rate; | — |
Countries
China
Contacts
Public ContactWu Haiyang
Shanghai Second People's Hospital
Outcome results
None listed