Comparison of the Functional Outcomes of Closed Reduction and Plaster of Paris Application Versus Closed Reduction With K-Wire Fixation and Plaster of Paris Application in the Management of Colles' Fracture.
Overview
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Khawaja Muhammad Safdar Medical College
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Garland and werely score
Overview
Brief Summary
Colles' fracture is a common distal radius injury, often managed with closed reduction and Plaster of Paris (POP) casting. However, loss of alignment may occur with casting alone. Percutaneous K-wire fixation may improve fracture stability. This study aims to compare the functional outcomes of closed reduction with POP cast application versus closed reduction with K-wire fixation followed by POP cast application in the management of Colles' fractures.
Detailed Description
This randomized controlled trial evaluates two commonly used treatment methods for Colles' fractures. Sixty participants were randomized into two groups: closed reduction with POP cast application, and closed reduction with percutaneous K-wire fixation followed by POP cast application. Follow-up assessments were scheduled to evaluate functional outcomes using the Gartland and Werley scoring system over a three-month period.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Investigator)
Eligibility Criteria
- Ages
- 18 Years to 60 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Age 18 to 60 years
- •Both genders
- •Closed Colles' fracture
- •Injury less than 1 week old
- •Provided informed consent
Exclusion Criteria
- •Open fracture
- •Fracture with neurovascular injury
- •Medically unfit for surgery
- •Contraindication noted by orthopedic surgeon or anesthetist
Outcomes
Primary Outcomes
Garland and werely score
Time Frame: 3 months
The Gartland and Werley scoring system (range 0-52) evaluates functional outcomes after distal radius fracture. Lower scores indicate better outcomes
Secondary Outcomes
No secondary outcomes reported
Investigators
Suqlain Ali
Dr Suqlain Ali post graduate resident
Khawaja Muhammad Safdar Medical College