Child, Distal, Forearm, Fracture, Treatment
Conditions
Keywords
Fracture, Forearm, Distal, Child, Treatment
Brief summary
We create a randomized clinical trial between treatment with and without Kirschner wire fixation of a stable dislocated distal both-bone forearm fracture.
Detailed description
children who arrive at the emergency unit with a dislocated both-bone distal forearm fracture will be asked to join the trial. After informed consent, a randomization between 2 kinds of treatment will be done: K-wire fixation or no K-wire fixation of the fracture after a stable reposition. Outpatient clinic visits till a follow-up of 6 months. During these visits we will investigate: the number of re-dislocations, re-operations, consolidation and dislocation on X-ray, function of both arms, complains in daily living and complications.
Interventions
PROCEDUREKirschner-wires or not
Sponsors
Colaris, Joost, M.D.
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
No minimum to 15 Years
Healthy volunteers
Yes
Inclusion criteria
* both-bone forearm fracture * distal * dislocated * stable after reposition * age \< 16 years
Exclusion criteria
* fracture older than 1 week * no informed consent * refracture * open fracture (Gustillo 2 and 3) * both fractures of type torus
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| re-operations/ re-dislocations | — |
Secondary
| Measure | Time frame |
|---|---|
| pronation and supination | — |
| complications, function, esthetics, complains in daily living, X-rays | — |
Countries
Netherlands
Contacts
Primary Contactjoost w colaris, drs
Outcome results
None listed