Colles' Fracture
Conditions
Brief summary
The purpose of this study is to compare the radiographic and clinical outcomes after short versus conventional plaster cast fixation time in reduced distal radius fractures.
Detailed description
Displaced distal radius fractures treated with closed reduction and plaster cast fixation are radiographed 10 days (range 8-13 days) after reduction and randomized to one of two study arms; immediate removal of plaster cast or continued fixation in plaster cast for another 3 weeks. Radiographic and Clinical outcome measurements at 1, 4 and 12 months
Interventions
Removal of plaster cast fixation 10 days after reduction
Sponsors
Study design
Eligibility
Inclusion criteria
* Distal radius fracture with intact ulna (except for processus styloideus ulnae) * Dorsal angulation 5-40 degrees * Axial compression \< 4 mm * Intra articular step-off \< 1 mm * Low energy trauma * Closed fracture * Suitable for treatment with closed reduction and plaster cast fixation
Exclusion criteria
* Fracture older than 3 Days * Previously fractured ipsi- or contralateral wrist * Dementia * Inflammatory joint disorder
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Radiographic displacement | At admission, 10 days, 1 month and 12 months | Change in dorsal angulation, radial angulation and axial compression between follow-ups. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Grip strength | Uninjured side. Injured side at 1, 4 , 12 months | Grip strength compared to uninjured side at 1, 4 and 12 months |
| Range of motion | Uninjured side. Injured side at 1, 4 and 12 months | Range of motion in dorsal extension, volar flexion, supination and pronation compared to uninjured side at 1, 4 and 12 months. |
| Assessment of pain intensity | 10 days, 1, 4 and 12 months | Average pain over the last 24 h assessed with a visual analogue scale (VAS) at 10 days, 1, 4 and 12 months |
| Assessment of functional outcome with three different functional assessment scores; 1,The modified de Bruijn wrist score 2, The modified Mayo wrist scoring chart 3, The Gartland and Werley Demerit wrist point system modified by Sarmiento. | 12 months | The three functional assessment scores are composite outcome measures consisting of multiple measures (results to be reported as single values for each Group), |