dislocated, articular, distal radius, fracture, ORIF, plaster gedisloceerd, articulair, distale radius, fractuur, ORIF, gips
Conditions
Interventions
Open reduction and internal plate fixation versus plaster immobilisation
Sponsors
Academic Medical Center, Amsterdam
Eligibility
Inclusion criteria
Inclusion criteria: • Patients from 18 – 75 years • AO type C displaced distal radius fracture, as classified on lateral, posterior anterior and lateral carporadial radiographs/CT-scan by a radiologist or trauma surgeon • Fracture displacement is defined by the AO foundation as ‘fragments not perfectly anatomically aligned’. Acceptable closed reduction obtained immediately after admission to the Emergency Department (<12hrs)
Exclusion criteria
Exclusion criteria: • Patients with impaired wrist function prior to injury due to arthrosis/neurological disorders of the upper limb • Open distal radius fractures • Multiple trauma patients (Injury Severity Score (ISS) ≥16) • Other fractures of the affected extremity (except from ulnar styloid process) • Fracture of other wrist • Insufficient comprehension of the Dutch language to understand a rehabilitation program and other treatment information as judged by the attending physician • Patient suffering from disorders of bone metabolism other than osteoporosis (i.e. Paget’s disease, renal osteodystrophy, osteomalacia) • 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 |
|---|---|
| PRWE | — |
Secondary
| Measure | Time frame |
|---|---|
| DASH, SF36, VAS, ROM, grip strength, radiographic outcomes, cost-effectiveness and cost-utility | — |
Contacts
Public ContactJ.C. Goslings
Academic Medical Center (AMC), G4-105, P.O. Box 22660
Outcome results
None listed