Optimal timing of volar plating surgery in distal radius fracture affecting hand and wrist functional outcome: prospective cohort study

Status

Recruiting

Phases

Unknown

Study type

Observational

Source

TCTR

Registry ID

TCTR20250902001

Enrollment

Registered

2025-09-02

Start date

2025-06-25

Completion date

Unknown

Last updated

2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Distal radius fracture patient requiring volar plating surgery Timing of surgery Time to surgery Volar plating Volar locking plate VA-LCP Volar VA-LCP Distal radius fracture Distal end radius fracture Functional outcome Th-DASH DASH Range of motion Grip strength Pince strength

Interventions

surgery before cut off point,surgery after cut off point

Treatment,Treatment

early surgery,delayed surgery

Eligibility

Sex/Gender

All

Age

18 Years to 85 Years

Inclusion criteria

Inclusion criteria: Distal radius fracture requiring surgery as AAOS 2020 guideline

Exclusion criteria

Exclusion criteria: 1. Open fracture 2. Distal end radius fracture AO classification 2R3A1 radial styloid fracture, 2R3B2 dorsal rim Barton 3. Noncooperative patients 4. Refuse to do surgery 5. Unwilling to attend research project 6. Severe comorbidity, not fit for surgery 7. Cannot follow-up at Vajira hospital 8. Concomitant distal ulnar fracture that need fixation 9. Concomitant DRUJ instability despite radius fixation 10. Previous wrist fracture or pathology affected side 11. Multiple fracture of upper extremity 12. WALANT anesthesia technique 13. Time to surgery more than 30 days 14. Infected skin incision area 15. Prolonged post-op splinting more than 4 week

Design outcomes

Primary

Measure	Time frame
Thai version of the Disabilities of the Arm, Shoulder and Hand (TH-DASH) score 2 weeks, 6 weeks, 3 months, 6 months Likert scale	—

Secondary

Measure	Time frame
ROM 2 weeks, 6 weeks, 3 months, 6 months Goniometer as measurement tool,Grip strength 2 weeks, 6 weeks, 3 months, 6 months Jamar Plus+ Digital Hand Dynamometer & Jamar Digital Pinch Gauge as a measurement tool,pince strength 2 weeks, 6 weeks, 3 months, 6 months Jamar Plus+ Digital Hand Dynamometer & Jamar Digital Pinch Gauge as a measurement tool,complication 2 weeks, 6 weeks, 3 months, 6 months Binary outcome (yes/no)	—

Measure

Time frame

ROM 2 weeks, 6 weeks, 3 months, 6 months Goniometer as measurement tool,Grip strength 2 weeks, 6 weeks, 3 months, 6 months Jamar Plus+ Digital Hand Dynamometer & Jamar Digital Pinch Gauge as a measurement tool,pince strength 2 weeks, 6 weeks, 3 months, 6 months Jamar Plus+ Digital Hand Dynamometer & Jamar Digital Pinch Gauge as a measurement tool,complication 2 weeks, 6 weeks, 3 months, 6 months Binary outcome (yes/no)

—

Countries

Thailand

Contacts

Public ContactKrittapas Buajeep

Navamindradhiraj university

krittapas.bua@nmu.ac.th0804951551

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 10, 2026