wrist fracture
Conditions
Interventions
Plaster cast immobilization is compared to open reduction and internal
fixation.
Sponsors
Academisch Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: 1. Age > 55 years 2. Primary displaced unilateral fracture of distal radius (open fractures are included) a. AO (Arbeitsgemeinschaft fur Osteosynthesefragen) type A2 b. AO type A3 c. AO type B1 d. AO type C1 e. AO type C2 3. Independent for activities of daily living (yes/no question) 4. Inadequate reduction of distal radius fracture at emergency department (For specific criteria see below) and/or 5. Inadequate reduction of distal radius at 1 week follow-up at the outpatient department: Therapeutic failure is defined as fracture displacement when the dorsal or volar angulations are more than 10º, intra-articular step-off > 2mm, or the ulnar variance is more than 5mm. This failure accounts for both redisplacement after initial adequate alignment during conservative treatment (including manipulative reduction) on the emergency department) and for secondary failure after surgical reduction.
Exclusion criteria
Exclusion criteria: 1. Fracture of contralateral arm 2. Other fractures at the ipsilateral arm (excluded carpal fractures) 3. Pre-existent abnormalities fractured distal radius 4. Primary unilateral fracture distal radius AO type A1, B2, B3 and C3 5. Pathological fractures (due to metastasis, secondary osteoporosis)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome parameters: Disability of Arm, Shoulder and Hand (DASH) score, Musculoskeletal Function Assessment (MFA) | — |
Secondary
| Measure | Time frame |
|---|---|
| General and functional outcome parameters: Short Form 12 (SF-12) health survey questionnaire, and Patient Related Wrist Evaluation (PRWE), Range of motion, Pain level (VAS), Cost-effectiveness analysis, Radiographic analysis using Lidstrom score Complication rate. | — |
Countries
Netherlands
Outcome results
None listed