CT Analysis Comparing Cast and Three-Point Indexes in Distal Radius Fracture Care

Completed

• Conditions: Distal Radius Fractures
• Interventions: Other: cast treatment

• Registration Number: NCT06255106
• Lead Sponsor: Istanbul University

Brief Summary

Objectives: To compare the cast index and three-point index measurements obtained using computed tomography (CT) with those acquired using conventional methods for treating distal radius fractures Design: A retrospective cohort study Setting: Level 1 trauma center Patients: One hundred and thirteen (45 men and 68 women) patients with distal radius fractures Interventions: Patients with distal radius fractures were retrospectively analyzed and received either conservative cast treatment or surgical intervention through open reduction and internal fixation between 2016 and 2022.

Main outcome measurements: The study evaluated the cast index and three-point index in the cast-treated group and their effectiveness using the Sarmiento index. Furthermore, radial height, volar tilt, and radial inclination were compared between the surgically treated and cast-treated groups.

Detailed Description

Not available

Study Timeline

• Study Start: 2022-02-01
• Primary Completion: 2023-05-10
• Study Completion: 2023-07-15
• Status Verified: 2024-02
• Study First Submitted: 2024-02-02
• Study First Submitted QC: 2024-02-09
• Last Update Submitted: 2024-02-09
• Study First Posted: 2024-02-12
• Last Update Posted: 2024-02-12

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 113

Inclusion Criteria

• Patients aged ≥18 years
• Diagnosed with distal radius fracture
• Treated with either cast or volar plate osteosynthesis were included in the study.

Exclusion Criteria

• Patients with multiple fractures in the same upper extremity
• Those treated with dorsal plates or external fixators
• Individuals with open fractures
• Patients with known systemic or rheumatologic diseases
• Those with cervical disk problems
• Individuals lacking post-cast removal CT data
• Patients with incomplete medical records were excluded.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Group 1	cast treatment	Group 1, consisting of individuals treated with a cast
Group 2	cast treatment	Group 2, comprising those who underwent surgical intervention (Open reduction volar plate fixation.

Primary Outcome Measures

Name	Time	Method
Radial İnclination	2 weeks	Radiologic outcome measurement
Radial height	2 weeks	Radiologic outcome measurement
Volar tilt	2 weeks	Radiologic outcome measurement
Sarmiento radiological score	2 weeks	success of cast treatment

Secondary Outcome Measures

Name	Time	Method
Three point index CT	2 weeks	Three point index measure in CT
Axial Cast İndex	2 weeks	Cast index measure in axial plane CT

Trial Locations

Locations (1)

University; 🇹🇷 İstanbul, Turkey