Distal Radial Fractures Treated With a DVR-A Locking Plate
Conditions
Keywords
Distal Radial Fracture, Volar Locking Plate
Brief summary
The surgical treatment of wrist fractures (distal radius bone) has been changed by the introduction of a new plate design, the locking plate. This results in improved fixation and stabilisation of the fracture fragments allowing early movement. This type of plate has been increasingly used throughout the world but questions have been raised regarding the potential complications of the surgery, particularly nerve and tendon injury. The Norfolk and Norwich Hospital has treated over 250 distal radial fractures with this type of plate. The investigators plan to recall these patients to asses their long term function, general satisfaction and radiological results.
Interventions
DEVICEORIF with DVR-A locking plate
Size, length of plate and number os screws decided by operating surgeon
Sponsors
DePuy International
Global Diagnostics UK
Norfolk and Norwich University Hospitals NHS Foundation Trust
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
16 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Treatment between Jan 2005 and March 2009
Exclusion criteria
* Under 16 * Unable to consent * Pregnant
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| DASH score | One year or more post surgery | Disability of arm shoulder and hand score. This is a patient administered validated score |
| Pain | One year or more post surgery | A patient administered visual analogue scale numbered 1-10. A mark can be placed anywhere along the line with a score of 0 indicating no pain and 10 the worst pain imaginable |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| EQ 5D | More than one year post surgery | Euroqual 5D is a patient administered general health questionaire that is validated. |
| Grip Strength | One year or more post surgery | Measured by a dynomometer and referenced to the non operated side |
| Complications | One year or more post surgery | Examination and questioning by a hand therapist to pick up complications. Prompting for tendon irritation or rupture, neurovascular injury, plate or screw failure, hardware removal and infection |
| Pain | One year or more post surgery | A patient administered visual analogue scale numbered 1-10. A mark can be placed anywhere along the line with a score of 0 indicating no pain and 10 the worst pain imaginable |
| Range of motion | One year or more post surgery | Measured with a goniometer. Measurements taken of movements in the axial,coronal and sagital planes |
| Radiographic appearance | One year or more post surgery | Review of xrays to measure radial inclination, volar tilt,, shortening, articular stepoff and degenerative change |
Countries
United Kingdom
Outcome results
None listed