Immobilization Two Weeks versus Four Weeks of Stable Distal Radioulnar Joint Following Surgical Fixation of Galeazzi fracture-dislocations in Adults: A Randomized Controlled Trial.
- Conditions
- Stable Distal Radioulnar Joint Following Surgical Fixation of Galeazzi fracture-dislocations in AdultsGaleazzi fracture-dislocationImmobilizationFunctional outcome
- Registration Number
- TCTR20200915001
- Lead Sponsor
- Khon Kaen Hospital
- Brief Summary
A total of 54 participants were enrolled and randomized into two treatment groups. Demographics were similar between groups, with most participants being male, and the mean age was 35 years. The mean DASH scores were slightly higher in the four-week immobilization group but not statistically significant. Range of motion and mean grip strength differences were similar between groups. Complication rates were also similar, with recurrent DRUJ dislocation occurring in two participants from each group.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 54
Age above 18 years old of acute Galeazzi fracture-dislocations (less than two weeks) confirmed by radiograph.
Reducible and stable DRUJ approved by clinically tested intraoperatively with the forearm rotation.
Being medically fit for undergoing surgery (American Society of Anesthesiologists [ASA] grade I, II, or III).
Open Galeazzi fracture-dislocations fracture
Associated ipsilateral shoulder, forearm or hand injury
Previous ipsilateral shoulder, forearm or hand surgery
Previous ipsilateral impaired shoulder, forearm or hand surgery function
Associated medical contraindication to propose methods of immobilization
Associated head injury (Glasgow Coma Scale score of less than 12)
Pathological fractures
Associated ipsilateral neurovascular injury
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Functional outcome At 3 months after end of the intervention The Disabilities of the Arm, Shoulder and Hand Score (DASH), Thai version
- Secondary Outcome Measures
Name Time Method Motion of wrist At 3 months after end of the intervention Goniometer,Power of grip strength At 3 months after end of the intervention Electronic handgrip strength,Recurrent subluxation or dislocation of distal radioulnar joint At 3 months after end of the intervention Physical examination and plain film,Number of events of early complications At 2 weeks after end of the intervention Observation,Number of events of late complications At 3 months after end of the intervention Observation