The Alternative Technique to Reduce Radiation Exposure during Locked Plate Fixation of Distal Radius Fracture; the Plummet as a Targeting Device

A Randomized Controlled Trial Evaluating a Mechanical Plummet Aiming Device to Reduce Fluoroscopic Radiation Exposure During Volar Locking Plate Fixation of Unstable Distal Radius Fractures

Status

Active, not recruiting

Phases

Phase 3

Study type

Interventional

Source

TCTR

Registry ID

TCTR20251229001

Enrollment

Registered

2025-12-29

Start date

2025-06-01

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

Unstable distal radius fractures requiring surgical fixation with volar locking plate Radiation exposure Intraoperative fluoroscopy Distal radius fracture Aiming devices

Interventions

Plummet-assisted volar locking plate fixation Patients underwent standard volar locking plate fixation using intraoperative fluoroscopic imaging with a plummet weighed 100 grams, was made of polished

s judgment without any aiming device. (Conventional fluoroscopy)

Experimental Procedure/Surgery,Experimental Procedure/Surgery

Plummet group,Control group

Eligibility

Sex/Gender

All

Age

18 Years to No maximum

Inclusion criteria

Inclusion criteria: 1. Patient aged 18 years or older. 2. Patients diagnosed with unstable distal end radius fractures. 3. Patients scheduled for open reduction and internal fixation with volar locking plate fixation in Kumpawapi Hospital between June and September 2025. 4. Patients who provided written informed consent for participation in the study.

Exclusion criteria

Exclusion criteria: 1. Age under 18 years 2. Refusal to participate 3. Unfit for surgery or anesthesia

Design outcomes

Primary

Measure	Time frame
Total number of fluoroscopic images Intraoperative Count recorded automatically from C-arm,Radiation exposure dose (uSv) Intraoperative Dose output automatically from C-arm,Total radiation time (minutes) Intraoperative Recorded automatically from C-arm	—

Secondary

Measure	Time frame
Operative time (minutes) Intraoperative Stopwatch measurement,Fluoroscopic accuracy (%) Intraoperative Ratio of accurate views to total images,Postoperative wound infection Post operation at 2, 4, 6 weeks Clinical evaluation	—

Countries

Thailand

Contacts

Public ContactNitiwut Saenmanot

Orthopaedic department, Kumpawapi Hospital, Udon Thani, Thailand

nitiwut.ortho@gmail.com042334400

Outcome results

None listed

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