angulated distal forearm fracture S52
Conditions
Interventions
Group 1: Immobilization in cast without reduction
Group 2: Closed reduction and percutaneous K-wire pinning, cast, patients under narcosis
Sponsors
Ruprecht-Karls-Universität Heidelberg
Eligibility
Sex/Gender
All
Age
5 Years to 11 Years
Inclusion criteria
Inclusion criteria: - Children 5-11 yrs - distal forearm fracture => 23-M/2-3 or 23-E/1-2 according to AO-classification), => angulated radius/forearm fracture in distal third => angulated epiphyseolysis with/without metaphyseal wedge - angulation =30° => 5-7 yrs angulation 15-30° => 8-11 yrs angulation 10-25° - written informed consent (children and parents)
Exclusion criteria
Exclusion criteria: - torus fractures; - complete displacement with shortening; - other osteosynthesis than K-wire osteosynthesis necessary; - neurological concomittant diseases; - metabolic diseases; - pathological fracture; - neurovascular injuries; - presence of another skeletal injury or serious injuries
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cooney-Score after 24 months (dichotomised in =90 vs. <90). The Cooney score includes subjective parameters (pain, strength, and activity before and after trauma) as well as objective (flexibility) parameters. | — |
Secondary
| Measure | Time frame |
|---|---|
| - Cooney-score after 3 and 12 months; - patient/parent satisfaction score (ZUF-8 and CHC-SUN modified) after 1, 3, 12 and 24 months; - grade of radiological displacement at 12/24 months; - secondary operation (after 24 months); - secondary reposition (after 24 months); - secondary K-wire osteosynthesis (after 24 months); - growth disturbance (after 24 months); - therapeutic complications (Dindo-Clavien classification, after 24 months) | — |
Countries
Germany
Contacts
Public ContactLucas M. Wessel
Universitätsmedizin MannheimFakultät für Medizin der Universität Heidelberg
Outcome results
None listed