Distal radius fractures
Conditions
Interventions
The study will be performed using a stepped wedge design. All hospitals will start with their usual treatment (Condition A), often plaster cast immobilization for three to five weeks. When the cluster
Sponsors
International Grant form the Orthopaedic Trauma Association.
Eligibility
Inclusion criteria
Inclusion criteria: • age between 18 and 85 years • isolated acute distal radius fracture; intra and extra articular • closed reduction is not performed • non-operative treatment with cast immobilisation • ability to perform Activities of Daily Living independently • ability to give informed consent
Exclusion criteria
Exclusion criteria: • multiple injured patient • reduction is indicated/performed • operative treatment • no understanding of Dutch language • a patient with extra care at home; in need of a caregiver or professional for Activities of Daily Living • open fractures • history of surgically treated wrist fracture on the currently injured side • estimated high risk of secondary displacement by surgeon due to comorbidities, high risk of falling or life circumstances
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The main study parameter is the acceptability of the study (number of protocol violations). | — |
Secondary
| Measure | Time frame |
|---|---|
| The following study parameters are gathered: - Functional outcome using PRWE, Short Form - 36, Promis Pain Interference after six weeks and three-, six- and twelve months. - Return to activity using productivity costs questionnaire (iCPQ) - Cost-effectiveness using a selection of questions of the medical consumption questionnaire (iMCQ) and the productivity costs questionnaire (iCPQ) - The number of complications such as secondary displacement and Complex Regional Pain Syndrome | — |
Contacts
Public ContactEmily Boersma
Radboudumc
Outcome results
None listed