Comparative Computed Tomography Analysis of the Cast Index and Three-Point Index in Distal Radius Fracture Treatment
Overview
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Istanbul University
- Enrollment
- 113
- Locations
- 1
- Primary Endpoint
- Radial İnclination
Overview
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.
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Retrospective
Eligibility Criteria
- Ages
- 19 Years to 92 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
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.
Outcomes
Primary Outcomes
Radial İnclination
Time Frame: 2 weeks
Radiologic outcome measurement
Radial height
Time Frame: 2 weeks
Radiologic outcome measurement
Volar tilt
Time Frame: 2 weeks
Radiologic outcome measurement
Sarmiento radiological score
Time Frame: 2 weeks
success of cast treatment
Secondary Outcomes
- Axial Cast İndex(2 weeks)
- Three point index CT(2 weeks)
Investigators
Yasar Samet Gokceoglu
Principal investigator
Istanbul University