Scaphoid Waist Internal Fixation for Fractures Trial: A trial evaluating cast versus surgical fixation for fractures of the scaphoid waist in adults

Conditions

Musculoskeletal trauma of the hand and wrist Musculoskeletal Diseases

Joseph Dias, Stephen Brealey, Liz Cook, Caroline Fairhurst, Sebastian Hinde et al. (21 authors)

Health Technology Assessment2020-10-0121 citations

Surgery versus cast immobilisation for adults with a bicortical fracture of the scaphoid waist (SWIFFT): a pragmatic, multicentre, open-label, randomised superiority trial.

Dias JJ, Brealey SD, Fairhurst C, Amirfeyz R, Bhowal B, Blewitt N, Brewster M, Brown D, Choudhary S, Coapes C, Cook L, Costa M, Davis T, Di Mascio L, Giddins G, Hedley H, Hewitt C, Hinde S, Hobby J, Hodgson S, Jefferson L, Jeyapalan K, Johnston P, Jones J, Keding A, Leighton P, Logan A, Mason W, McAndrew A, McNab I, Muir L, Nicholl J, Northgraves M, Palmer J, Poulter R, Rahimtoola Z, Rangan A, Richards S, Richardson G, Stuart P, Taub N, Tavakkolizadeh A, Tew G, Thompson J, Torgerson D, Warwick D.

2020-08-0162 citations

10.1016/s0140-6736(20)30931-4

Comparison of SCAphoid fracture osteosynthesis by MAGnesium-based headless Herbert screws with titanium Herbert screws: protocol for the randomized controlled SCAMAG clinical trial

Sören Könneker, Katja Krockenberger, Claudia Pieh, Christian von Falck, Bernard Brandewiede et al. (8 authors)

BMC Musculoskeletal Disorders2019-08-0631 citations

10.1186/s12891-019-2723-9

Scaphoid Waist Internal Fixation for Fractures Trial (SWIFFT) protocol: a pragmatic multi-centre randomised controlled trial of cast treatment versus surgical fixation for the treatment of bi-cortical, minimally displaced fractures of the scaphoid waist in adults.

Dias J, Brealey S, Choudhary S, Cook L, Costa M, Fairhurst C, Hewitt C, Hodgson S, Jefferson L, Jeyapalan K, Keding A, Leighton P, Rangan A, Richardson G, Rothery C, Taub N, Thompson J, Torgerson D.

2016-06-0425 citations

10.1186/s12891-016-1107-7

Interventions

Participants will be randomised to one of two basic treatment interventions: 1. Surgery using a headless screw 2. Plaster cast immobilisation

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Adults (male and female), aged 16 years old or above 2. Presenting to the trauma centre within 2 weeks of their injury 3. Radiologically confirmed bicortical fracture of the scaphoid waist

Exclusion criteria

Exclusion criteria: 1. Fractures greater than 2mm displaced 2. Fractures in the proximal pole of the scaphoid (proximal 20%) 3. Trans-scaphoid perilunate dislocation 4. Multiple injuries in the same limb 5. Previous injury or disease in the same wrist 6. Patients with cognitive impairment 7. Patients not resident in the trauma centre catchment area 8. Any other reason to exclude the patient (please give reasons)

Design outcomes

Primary

Measure	Time frame
The Patient Rated Wrist Evaluation (PRWE) (15 item condition-specific questionnaire providing a total score based on the patient's subjective assessment of wrist pain and disability in activities of daily living), assessed at 52 weeks	—

Secondary

Measure	Time frame
1. The PRWE at 6, 12 and 26 weeks and at 5 years 2. The 12-item short form health survey (SF-12) and Euroqol (EQ-5D) for general health status data (at 6, 12, 26, 52 weeks and 5 years) 3. Bone union, determined by CT scan and radiographs at 52 weeks and 5 years 4. Range of wrist movement (measured using goniometer at 6, 12, 52 weeks and 5 years). 5. Grip strength (measured using a calibrated Jamar dynamometer at 6, 12, 52 weeks and 5 years) 6. Complications, including surgical complications (e.g. wound infection) at 6, 12, 52 weeks 7. Early medical complications, i.e. chest infection, confirmed myocardial infarction or stroke, treated deep vein thrombosis and pulmonary embolism. 8. Subsequent referral for operation or substantive treatment. Duration of follow-up: 5 years 9. Data for economic evaluation: NHS and societal costs	—

Measure

Time frame

1. The PRWE at 6, 12 and 26 weeks and at 5 years 2. The 12-item short form health survey (SF-12) and Euroqol (EQ-5D) for general health status data (at 6, 12, 26, 52 weeks and 5 years) 3. Bone union, determined by CT scan and radiographs at 52 weeks and 5 years 4. Range of wrist movement (measured using goniometer at 6, 12, 52 weeks and 5 years). 5. Grip strength (measured using a calibrated Jamar dynamometer at 6, 12, 52 weeks and 5 years) 6. Complications, including surgical complications (e.g. wound infection) at 6, 12, 52 weeks 7. Early medical complications, i.e. chest infection, confirmed myocardial infarction or stroke, treated deep vein thrombosis and pulmonary embolism. 8. Subsequent referral for operation or substantive treatment. Duration of follow-up: 5 years 9. Data for economic evaluation: NHS and societal costs

—

Countries

United Kingdom

Outcome results

None listed