Comparing surgical fixation and conservative management using a cast in wrist fractures in people aged 65 years and older

Not Applicable

• Conditions: nstable fractures of the distal radius in patients aged 65 years and older; Musculoskeletal Diseases

• Registration Number: ISRCTN95922938
• Lead Sponsor: niversity of Edinburgh

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2021-12-03
• Last Update Posted: 25 March 2024
• Study Completion: 2026-12-31

Recruitment & Eligibility

• Status: Ongoing
• Sex: All
• Target Recruitment: 178

Inclusion Criteria

1. Aged =65 years
2. Dorsally angulated fractures of the distal radius
3. The treating surgeon believes the patient is suitable for surgical fixation
4. Operation date within 3 weeks of fracture
5. Closed or Gustilo-Anderson grade I injury

Exclusion Criteria

1. Patients unable to give informed consent
2. Patients medically unfit to undergo surgery
3. Volar displaced fractures
4. Partial articular and isolated radial styloid fractures
5. Associated fractures to the upper limb and/or pre-existing pathology adversely affecting function
6. Associated ligamentous injury, dislocation or subluxation of the wrist
7. Open fractures of Gustilo-Anderson grade II or higher
8. Persisting neurovascular deficit requiring operative intervention
9. Off-ended/severely displaced fractures post attempted reduction that are deemed to require surgery by the treating surgeon
10. Non-residents who will be unable to attend for local follow-up
11. Patients unable to comply with follow-up, including English-language patient-reported outcome measures, either on the telephone or by post

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Wrist pain and disability assessed using the Patient-Rated Wrist Evaluation (PRWE) at 1 year (52 weeks) post-injury