fractuurdiagnostiek and ankle. intra-articular fractures of calcaneus wrist
Conditions
Interventions
All included patients will be subjected to additional intra-operative 3D-RX. In
half of the patients the surgeon will be blinded to these results, in the other
half the surgeon may use the 3D-RX res
Sponsors
Academisch Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Adults Traumatic intraarticular fracture of wrist, ankle or calcaneus Informed consent
Exclusion criteria
Exclusion criteria: Pathological fractures Mentally or physically unable to comply with the trial requirements
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Quality of fracture reduction on postoperative CT-scans 2. Diagnostic value according to a standard protocol of judging the postoperative CT-scans and intra-operative 2D-fluoroscopy and 3D-scans. The scores of the intraoperative scans and postoperative CT-scans will be compared. 3. Cost-effectiveness of 3D-Rx vs. 2D-scanning and CT. | — |
Secondary
| Measure | Time frame |
|---|---|
| • The number and sort of corrections made after 2D-fluoroscopy • The number and sort of corrections made after a 3D-scan • The number of revision operations • The number and sort of complications • The fluorotime • The duration of the operation • The length of the hospital stay expressed in days • Duration until full mobilization of the joint expressed in weeks • The range of motion in degrees; for the ankle plantar and dorsal flexion and in- and eversion; for the wrist the palmar and dorsal flexion and ulnar and radial deviation after week 6,12 and 26 weeks and at 2 and 5 years postoperatively. • The strength of the operated joint compared to the contralateral joint after week 6, 12 and 26,and at 2 and 5 years postoperatively. • The clinical outcome by the DASH-score for the wrist and the FAOS-score for the ankle after week 6,12 and 26, and at 2 and 5 years postoperatively. • The pain score after 1, 6, 12 and 26 weeks, and at 2 and 5 years postoperatively by means of the VAS-score. • The degree of posttraumatic arthrosis at 5 years postoperatively, judged on a CT-scan of the operated joint | — |
Countries
Netherlands
Outcome results
None listed