CT Analysis Comparing Cast and Three-Point Indexes in Distal Radius Fracture Care

Comparative Computed Tomography Analysis of the Cast Index and Three-Point Index in Distal Radius Fracture Treatment

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT06255106

Enrollment

113

Registered

2024-02-12

Start date

2022-02-01

Completion date

2023-07-15

Last updated

2024-02-12

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

Conditions

Distal Radius Fractures

Keywords

distal radius fracture, cast index, three point index, computed tomography

Brief summary

Objectives: To compare the cast index and three-point index measurements obtained using computed tomography (CT) with those acquired using conventional methods for treating distal radius fractures Design: A retrospective cohort study Setting: Level 1 trauma center Patients: One hundred and thirteen (45 men and 68 women) patients with distal radius fractures Interventions: Patients with distal radius fractures were retrospectively analyzed and received either conservative cast treatment or surgical intervention through open reduction and internal fixation between 2016 and 2022. Main outcome measurements: The study evaluated the cast index and three-point index in the cast-treated group and their effectiveness using the Sarmiento index. Furthermore, radial height, volar tilt, and radial inclination were compared between the surgically treated and cast-treated groups.

Interventions

OTHERcast treatment

Surgical intervention vs cast treatment

Study design

Observational model

COHORT

Time perspective

RETROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

19 Years to 92 Years

Healthy volunteers

Inclusion criteria

* Patients aged ≥18 years * Diagnosed with distal radius fracture * Treated with either cast or volar plate osteosynthesis were included in the study.

Exclusion criteria

* Patients with multiple fractures in the same upper extremity * Those treated with dorsal plates or external fixators * Individuals with open fractures * Patients with known systemic or rheumatologic diseases * Those with cervical disk problems * Individuals lacking post-cast removal CT data * Patients with incomplete medical records were excluded.

Design outcomes

Primary

Measure	Time frame	Description
Radial height	2 weeks	Radiologic outcome measurement
Radial İnclination	2 weeks	Radiologic outcome measurement
Volar tilt	2 weeks	Radiologic outcome measurement
Sarmiento radiological score	2 weeks	success of cast treatment

Secondary

Measure	Time frame	Description
Axial Cast İndex	2 weeks	Cast index measure in axial plane CT
Three point index CT	2 weeks	Three point index measure in CT

Countries

Turkey (Türkiye)

Outcome results

None listed

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