Distal radius fracture Musculoskeletal Diseases Fracture of forearm
Conditions
Interventions
The intervention consists of surgical fixation of the distal radius fracture in a patient who fulfils the trial inclusion and exclusion criteria with a radial volar locking plate or the established co
Sponsors
Nottingham University Hospitals NHS Trust (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Fractures which the referring physician considers require operative intervention 2. Configuration is such that the fracture would be amenable to stabilisation via volar locking plate (not massively comminuted) 3. Adults (skeletally mature) with high demand requirements of their wrist in whom the radiological appearance of the bone suggests that it is robust enough to tolerate internal fixation; and in whom the fracture pattern at presentation fulfils the criteria as described below 4. Fractures of the distal radius which are: 4.1. Dorsally displaced extra-articular fractures (with or without an undisplaced intra-articular component) with dorsal cortical comminution as seen on the lateral radiograph 4.2. Displaced intra-articular fractures with an articular step or gap in the radio-carpal joint surface 5. Skeletally mature adults, minimum age 16 years and above, either sex
Exclusion criteria
Exclusion criteria: 1. Patients with concomitant systemic diseases (diabetes with vascular or neurological complications, advanced cardiac, pulmonary or neurological disease) 2. Proximal metaphyseal fractures (more than one inch or 2.5 centimetres from the articular surface) 3. Open fractures 4. Smith's and volar Barton's configuration 5. Previous fractures of the distal radius of the same or contra-lateral limb less than six months old 6. Significant pre-existing radiological abnormality 7. Multiply injured 8. Bilateral injuries 9. Patients who are unable to consent for themselves to treatment 10. Patients who may have difficulties in adequate understanding of English
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Function of the limb following a surgically treated distal radius fracture. As a measure of function we selected the Hand Health Profile forming part of the Patient Evaluation Measure (PEM). Expected duration of patient participation will be one year. Follow up and data collection will be performed at 6 weeks, 12 weeks and 1 year. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Clinical measurements: grip strength and range of motion 2. Radiographic parameters: radial length, palmar tilt, radial inclination and articular gaps/steps less or equal to 2 mm 3. Quality of life: as assessed via the EUROQUOL EQ-5D and 12-item short form health survey (SF-12) scores Expected duration of patient participation will be one year. Follow up and data collection will be performed at 6 weeks, 12 weeks and 1 year. | — |
Countries
United Kingdom
Outcome results
None listed