Minimax study; open reduction and internal fixation with volar fixed-angle plating vs percutaneous reduction and external fixation for displaced intra-articular fractures of the distal radius in the eldery

Completed

• Conditions: <p>Displaced intra-articular distal radius fractures in the eldery (gedisloceerde intra-articulare distale radius fracturen bij de oudere patienten)</p>

• Registration Number: NL-OMON22659
• Lead Sponsor: Medical Center Haaglanden, Department of Surgery, Medical Center Haaglanden, Medical Ethical Committee Zuid-West Holland (METC)

Brief Summary

Handoll HHG, Madhok R. Surgical interventions for treating distal radial fractures in adults (Review), The Cochrane Library 2005, Issue 2 <br><br> Jupiter JB, L. H. (1993). The operative treatment of intraarticular fractures of the distal radius. Clin Orthop , 292: 48-61.<br><br> Nana AD, Joshi A, Lichtman DM. Plating of the distal radius. J Am Acad Orthop Surg. 2005; 13; 159-171 Orbay JL, Fernandez DL. Volar fixed-angle plate fixation for unstable distal radius fractures in the elderly patiënt. J Hand Surg [Am]. 2004; 29; 96-102

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Last Update Posted: 28 February 2024

Recruitment & Eligibility

• Status: Completed
• Sex: Not specified
• Target Recruitment: 148

Inclusion Criteria

1. All patients with a displaced intra-articular fracture of the distal radius.
2. More than 50 years old.

3. Compos Mentis.

Exclusion Criteria

1. a fracture older than 14 days.
2. Grade III open fractures.
3. ASA IV-V.
4. Participation in other studys.
5. Severe Wrist artrose or limited wrist motion before fracture.
6. Fractures on both sides (left and right).
7. Chronic substance abusus.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<p>The primairy outcome measures are:<br /><br>- wrist function (DASH, Mayo Wrist Score)<br /><br>- patient satisfaction (SF-36)<br /><br>- pain sensation (VAS).</p><br>

Secondary Outcome Measures

Name	Time	Method
<p>Secondary outcomes are:<br /><br>- radiographic parameters<br /><br>- the number of complications</p><br>