Dorsally Displaced Intraarticular Distal Radius Fractures, Age 50 - 74 for Females or 60-74 for Males, Low Energy Trauma
Conditions
Keywords
radius, fracture, wrist, external, fixation, volar, plate, DASH, PRWE
Brief summary
Distal radius fractures are treated surgically if severely displaced. This study aims to investigate the outcome after surgery. The investigators will randomize patients to either external fixation with optional addition of k-wires or open reduction and fixation with a volar plate.
Detailed description
This study has been merged with study NCT01035359 and a new ethical permission has been granted by the Swedish National Ethic board
Interventions
Operation with external fixation and optional addition of k-wire
Operation with a Synthes volar two column plate (TCP)
Sponsors
Study design
Eligibility
Inclusion criteria
* Female 50-74 years or male 60-74 years * Dorsally displaced extraarticular distal radius fracture * Dorsal angulation \>20 degrees measured from the plane perpendicular to the radius axis * Low energy trauma * Injury \<72 hours when diagnosed * Patient independent of help for ADL
Exclusion criteria
* Earlier dysfunction in any wrist * Other major injuries * Rheumatoid arthritis or other systemic joint disease * Dementia or severe psychiatric disease * Severe medical condition making general anesthesia a considerable risk
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome is measured by DASH (Disability of the Arm, Shoulder and Hand), which is a self administered questionnaire validated for disease and dysfunction of the upper limb. | 12 months |
Secondary
| Measure | Time frame |
|---|---|
| A secondary outcome measure is the degree of malalignment on the x-ray of the injured wrist. | 12 months |
| A secondary outcome measure for this study is the EQ5D, a validated quality-of-life instrument. | 12 months |
Countries
Sweden