distal radius fractures wrist fractures
Conditions
Interventions
The patients in the intervention group will be treated with plaster cast for
one week.
Sponsors
Radboud Universitair Medisch Centrum
Eligibility
Age
18 Years to 99 Years
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 (ADL) independently - written 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 ADL - open fractures - history of surgically treated wrist fracture on the currently injured side - estimated high risk of secondary displacement by surgeon
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The main parameters for this study are the following: - Patient reported outcome using the Patient Rated Wrist Evaluation (PRWE) score and for analysing quality of life we will use the ShortForm-36 - Return to activity will be meassured using a five minute short questionnaire - A cost-effectiveness analysis will be performed along-side the underlying stepped wedge trial. | — |
Secondary
| Measure | Time frame |
|---|---|
| The following secondary parameters will be measured: - The complication checklist for DRF from McKay will be used for scoring the complications after a DRF - Pain catastrophizing scale (PCS-4) will be used to measures patients fear for movement and the influence of psychological problems - Patient satisfaction will be additionally measured by using a 10 point ordinary scale - A budget impact analysis will be performed from various perspectives with the budgetary framework for the care as the base case perspective | — |
Countries
Netherlands
Outcome results
None listed