Distal Radius Fractures
Conditions
Keywords
Distal Radius Fracture, Elderly, Prospective randomized trial, Outcomes, Pain and Function, Surgical Vs. conservative management, Fractures with borderline alignment
Brief summary
The purpose of this study is to create and test a treatment algorithm to guide the treatment of distal radius fractures in patients 65 and older and to obtain level-one evidence to determine the best method of treating distal radius fractures in this growing population demographic.
Detailed description
* Distal radius fractures with borderline alignment will be randomized to surgical intervention or conservative treatment. * Patients will fill out subjective questionnaires at 0, 6weeks, 3months, 6 months, and 1 year. * Patients will perform objective strength tests, dexterity tests and have their range of motion tested at 12 weeks, 6 months and 12 months.
Interventions
PROCEDUREDistal Radius Fracture Reduction
Surgical Intervention to Reduce Distal Radius Fracture
Conservative management of Distal Radius Fractures
Sponsors
LHRI- Lawson Health Research Institute
Hand and Upper Limb Clinic, Canada
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Distal Radius Fracture * Between 10 and 20 degrees of dorsal angulation * Between 3 and 5mm of Ulnar positive variance * Between 1 and 2mm intra Articular Step deformity * Age 65 and older
Exclusion criteria
* Pre-Morbid medical conditions which preclude surgical intervention * Patients who do not live independently. * Patients with an open fracture * Associated soft tissue or skeletal injury to the same limb. * Pre-existing wrist arthrosis or disability
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary: Patient pain and disability. Will be quantified with Disabilities of the Arm and Shoulder (DASH) and Patient Rated Wrist Evaluation (PRWE). | 0-1 year |
Secondary
| Measure | Time frame |
|---|---|
| Secondary: To determine if other baseline factors influence outcome. For example, baseline activity levels (RAPA), home supports, hand dominance, and general mental health will be analyzed. | over 1 year |
| Secondary: To stratify results by age. (65-75, 77-80, and >80) | 0-1 year |
| Grip strength, Range of Motion and Dexterity testing of wrists | 3 months to 12 months |
Countries
Canada
Outcome results
None listed