A randomised controlled trial of percutaneous fixation with Kirschner wires versus volar locking-plate fixation in the treatment of adult patients with a displaced fracture of the distal radius

niversity of Warwick (UK)0 sites390 target enrollmentMarch 29, 2010

Overview

No summary available.

Registry

who.int

Start Date

March 29, 2010

End Date

TBD

Last Updated

9 years ago

Study Type

Interventional

Sex

All

Sponsor

niversity of Warwick (UK)

•1\. Sustained a dorsally displaced fracture of the distal radius, which is defined as a fracture within 3 cm of the radio\-carpal joint
•2\. The treating Consultant Surgeon believes that they would benefit from operative fixation of the fracture
•3\. Aged over 18 years (either sex) and able to give informed consent

•1\. The fracture extends more than 3 cm from radio\-carpal joint
•2\. The fracture is open with a Gustillo grading greater than 1
•3\. The articular surface of the fracture cannot be reduced by indirect techniques (in a small number of fractures, the joint surface is so badly disrupted that the surgeon will have to open up the fracture in order to restore the anatomy under direct vision)
•4\. There are contra\-indications to surgery, defined as:
•4\.1\. Severe cardiac impairment, e.g. heart or valve replacement, arrhythmia, previous myocardial infarction
•4\.2\. Severe respiratory impairment, e.g. chronic obstructive pulmonary disease, asthma that has required hospital admission
•4\.3\. Any other systemic medical condition that would produce a specific contraindication to a general anaesthetic
•5\. There is evidence that the patient would be unable to adhere to trial procedures or complete questionnaires, such as cognitive impairment or intravenous drug abuse