Comparison of Functional Recovery After Distal Intra-articular Radius Fracture With a Dorsal Tilt Treated With an Anterior Plate Versus a Posterior Plate

Not Applicable

Terminated

• Conditions: Distal Intra-articular Radius Fracture With a Dorsal Tilt
• Interventions: Other: DASH score; Procedure: X-ray; Procedure: Anterior osteosynthesis; Procedure: posterior osteosynthesis

• Registration Number: NCT03259906
• Lead Sponsor: Centre Hospitalier Universitaire Dijon

Brief Summary

For les intra-articular fractures, plate osteosynthesis is the indicated technique. Despite the absence of consensus, in recent years, the use of open reduction associated with internal plate fixation has considerably developed. Indeed, this therapeutic option allows a more anatomical reduction and stable fixation.

First-generation posterior plates presented complications related to the size of the plate, notably tendon lesions. Over the last ten years, a new generation of thinner anterior plates has reduced these complications.

In the literature, few studies have compared these two techniques in terms of functional and radiological outcomes. The hypothesis of this research is that osteosynthesis using a posterior plate is more effective than that with an anterior plate in terms of functional recovery in patients older than 45 years.

Detailed Description

Not available

Study Timeline

• Study Start: 2017-01
• Study First Submitted: 2017-08-21
• Study First Submitted QC: 2017-08-23
• Study First Posted: 2017-08-24
• Primary Completion: 2018-07-04
• Study Completion: 2018-07-04
• Status Verified: 2024-02
• Last Update Submitted: 2024-02-21
• Last Update Posted: 2024-02-22

Recruitment & Eligibility

• Status: TERMINATED
• Sex: All
• Target Recruitment: 12

Inclusion Criteria

• Patients who have provided written informed consent
• Patients older than 45 years
• Patients presenting a closed intra-articular fracture of the distal radius with a dorsal tilt (stages B2, C1, C2 and C3)

Exclusion Criteria

• Adults under guardianship
• Patients without national health insurance cover
• Pregnant or breast-feeding women
• Patients presenting other injuries in the same upper limb
• Patients presenting injuries of the wrist or hand (scapholunate injury, fracture of the carpal bone or fingers)
• Pre-trauma paralysis of the limb
• Open fracture
• Fracture with palmer tilt or extra-articular

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Osteosynthesis using an anterior plate	Anterior osteosynthesis	-
Osteosynthesis using a posterior plate	posterior osteosynthesis	-
Osteosynthesis using an anterior plate	X-ray	-
Osteosynthesis using a posterior plate	DASH score	-
Osteosynthesis using an anterior plate	DASH score	-
Osteosynthesis using a posterior plate	X-ray	-

Primary Outcome Measures

Name	Time	Method
Evaluation of functional recovery using the DASH questionnaire	6 months

Trial Locations

Locations (1)

Chu Dijon Bourgogne; 🇫🇷 Dijon, France