Closed Fracture of Lower End of Radius and Ulna
Conditions
Keywords
distal radius fractures, early mobilization, postoperative treatment, outcome
Brief summary
The purpose of this study is to evaluate if an early mobilization after distal radius fractures treated by surgery leads to an better functional outcome then immobilization after surgery for 5 weeks in a cast
Detailed description
All patients with a distal radius fracture treated by surgery (palmar angle stable plate) will be included in this study and randomised into two groups according the CONSORT Guidelines of Prospective Randomised Trails. One group (early mobilisation) receive a removable plastic cast for one week and are allowed to move the wrist directly postoperative. The other group (control group) received a non removable cast for 5 weeks. Both groups underwent physiotherapy two times a week. The control group was only allowed to move the closed-by joints. In the 6., 9., 12. postoperative week, a half and one year after the operation the patients underwent range of motion (ROM), grip strength measurement and pain according to the visual analogue scale (VAS). Hand function will be analysed according the PRWE (Patient-Rated Wrist Evaluation) Score, DASH (Disabilities of the Arm, Shoulder and Hand) Score and Mayo Wrist Score. * Inclusion criteria: * Age ≥ 18 and ≤ 75 years * A2 - C3 distal radius fracture * no acute or older injury that influences hand function * operative stabilized by palmar angle stable plate * Exclusion criteria: * Age ≥ 76 years * Age \< 18 years * C3.3 radius fracture * acute or preexisting injures that influences hand function * pregnancy * neurologic disorders * incapacitated people
Interventions
OTHERQuestionnaire
DASH Score, PRWE Score, Mayo Wrist Score
RADIATIONX- Ray
X-ray exposures in two planes 6., 9., 12. postoperative week, half and one year after surgery
OTHERGrip Strength
Grip strength measurement
OTHERVAS Score
Measurement pain according to the visual analogue scale (VAS)
OTHERRange of Motion measurement
Angle measurement of the active range of motion in the wrist
Sponsors
Ludwig Boltzmann Institute for Experimental und Clinical Traumatology
Ludwig Boltzmann Gesellschaft
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Age ≥ 18 and ≤ 75 years * A2 - C3 distal radius fracture * no acute or older injury that influences hand function * operative stabilized by palmar angle stable plate
Exclusion criteria
* Age ≥ 76 years * Age \< 18 years * C3.3 radius fracture * acute or preexisting injures that influences hand function pregnancy neurologic disorders incapacitated people
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Functional Outcome as measured by Grip Strength | one year | — |
| Functional Outcome as measured by visual analogue scale (VAS) | one year | Pain evaluation according the VAS Score |
| Functional Outcome as measured by Range of Motion (ROM) | one year | Range of Motion measured in sagittal plane, frontal plane and forearm rotation |
| Functional Outcome as measured by Patient - Rated Wrist Evaluation Score Patient - Functional Outcome as measured by Rated Wrist Evaluation (PRWE) Score | one year | Questionnaire: PRWE Score |
| Functional Outcome as measured by Disabilities of the Arm, Shoulder and Hand (DASH) Score | One Year | Questionnaire: DASH Score |
| Functional Outcome as measured by Mayo Wrist Score | One year | Questionnaire: Mayo Wrist Score |
| Radiological outcome as measured by X-Ray | One Year | Radiological outcome in x-ray of the Wrist in two planes |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| change Range of motion | 6., 9., 12. week postsurgery, a half and one year after surgery | — |
| Change Pain | 6., 9., 12. week postsurgery, a half and one year after surgery | — |
| Change Disabilities of the Arm, Shoulder and Hand (DASH) Score | 6., 9., 12. week postsurgery, a half and one year after surgery | — |
| Change Patient-Rated Wrist Evaluation (PRWE) Score | 6., 9., 12. week postsurgery, a half and one year after surgery | — |
| Change Mayo Wrist Score | 6., 9., 12. week postsurgery, a half and one year after surgery | — |
| Change X-Ray | 6., 9., 12. week postsurgery, a half and one year after surgery | X-Ray of the wrist in two planes |
| Grip strength | 6., 9., 12. week postsurgery, a half and one year after surgery | — |
Countries
Austria
Outcome results
None listed