Comparison of Functional Recovery After Distal Intra-articular Radius Fracture With a Dorsal Tilt Treated With an Anterior Plate Versus a Posterior Plate

Status

Terminated

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT03259906

Acronym

PAPPO

Enrollment

Registered

2017-08-24

Start date

2017-01-31

Completion date

2018-07-04

Last updated

2024-02-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Distal Intra-articular Radius Fracture With a Dorsal Tilt

Brief summary

For les intra-articular fractures, plate osteosynthesis is the indicated technique. Despite the absence of consensus, in recent years, the use of open reduction associated with internal plate fixation has considerably developed. Indeed, this therapeutic option allows a more anatomical reduction and stable fixation. First-generation posterior plates presented complications related to the size of the plate, notably tendon lesions. Over the last ten years, a new generation of thinner anterior plates has reduced these complications. In the literature, few studies have compared these two techniques in terms of functional and radiological outcomes. The hypothesis of this research is that osteosynthesis using a posterior plate is more effective than that with an anterior plate in terms of functional recovery in patients older than 45 years.

Interventions

OTHERDASH score

Questionnaire asking about Disability of Arm, Shoulder and Hand

PROCEDUREX-ray

postoperative x-rays at 6 weeks, 3, 6 and 12 months

PROCEDUREposterior osteosynthesis

Osteosynthesis using a posterior plate

PROCEDUREAnterior osteosynthesis

Osteosynthesis using an anterior plate

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

60 Years to No maximum

Healthy volunteers

Inclusion criteria

* Patients who have provided written informed consent * Patients older than 45 years * Patients presenting a closed intra-articular fracture of the distal radius with a dorsal tilt (stages B2, C1, C2 and C3)

Exclusion criteria

* Adults under guardianship * Patients without national health insurance cover * Pregnant or breast-feeding women * Patients presenting other injuries in the same upper limb * Patients presenting injuries of the wrist or hand (scapholunate injury, fracture of the carpal bone or fingers) * Pre-trauma paralysis of the limb * Open fracture * Fracture with palmer tilt or extra-articular

Design outcomes

Primary

Measure	Time frame
Evaluation of functional recovery using the DASH questionnaire	6 months

Countries

France

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026