Distal radius fractures
Conditions
Interventions
This study will randomise between open reduction and internal fixation with a volar locking plate and plaster immobilisation.
Sponsors
Academic Medical Centre Amsterdam
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients >18 years <75; 2. AO type A displaced distal radius fracture; 3. Fracture displacement is defined by the AO foundation as fragments not perfectly anatomically aligned; 4. Acceptable closed reduction obtained immediately after presentation at the Emergency Department (<12hrs).
Exclusion criteria
Exclusion criteria: 1. Patients with impaired wrist function prior to injury due to arthrosis/neurological disorders of the upper limb; 2. Open distal radius fractures; 3. Multiple trauma patients; 4. Other fractures in the affected extremity; 5. Insufficient comprehension of the Dutch language to understand a rehabilitation program and other treatment information as judged by the attending physician; 6. Patient suffering from disorders of bone metabolism other than osteoporosis (i.e. Paget’s disease, renal osteodystrophy, osteomalacia); 7. Patients suffering from connective tissue disease or (joint) hyperflexibility disorders such as Marfan’s, Ehler Danlos or other related disorders.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Disability of the Arm, Shoulder and Hand (DASH) questionnaire | — |
Secondary
| Measure | Time frame |
|---|---|
| Patient-Rated Wrist Evaluation (PRWE) score, quality of life (SF-36), pain as indicated on a Visual Analogue Scale (VAS), range of motion (ROM), grip strength, radiological outcome and complications. | — |
Contacts
Public ContactMarjolein A.M. Mulders
Outcome results
None listed