Distal radius fracture elderly
Conditions
Interventions
Surgery: open reduction internal fixation by volar (and possibly dorsal plating).
Conservative: cast treatment
Sponsors
Dirk ter Meulen, d.p.termeulen@olvg.nl, OLVG oost
Eligibility
Inclusion criteria
Inclusion criteria: • >65 years at time of trauma • Intra-articular distal radius fracture (AO type C*) • One or more of the following fracture characteristics within 3 weeks post-trauma (including secondary dislocation): ≤15° inclination 15° dorsal tilt >20° volar tilt intra-articular gap or step-off >2 mm • < 3 weeks post trauma • Living independent at home (e.g. not in a retirement home) • Fit for surgery • Mentally competent The patient must be able to fully understand the consequences of participation. This includes that the patient must be aware of the burden that the research project provides, the possible complications in both treatment arms and the possibility to not participate in the trial. Furthermore he or she must be able to fill out the questionnaires. • Dutch fluency and literacy • Informed consent
Exclusion criteria
Exclusion criteria: • Open fractures • Neurovascular damage • Multiple-trauma patients (ISS >16) • Other fractures in the injured extremity other than ulnar styloid process fractures • Contralateral fracture of the forearm
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| •Wrist function as reported by the patient (Patient-Rated Wrist Evaluation score) (PRWE)) 1 year after trauma | — |
Secondary
| Measure | Time frame |
|---|---|
| • Wrist function as reported by the patient (Disabilities of the Arm, Shoulder and Hand (DASH)) • Quality of life as reported by the patient (EQ-5D) • Patient reported pain catastrophizing (Pain Catastrophizing Scale (PCS)) • Costs evaluation questionnaire • ROM (range of motion) | — |
Contacts
Public ContactDirk ter Meulen
OLVG oost
Outcome results
None listed