Treatment of Distal Radius Fractures in Elderly Patients
Not Applicable
Withdrawn
- Conditions
- Distal Radius Fractures
- Registration Number
- NCT00788190
- Lead Sponsor
- Hand and Upper Limb Clinic, Canada
- Brief Summary
The purpose of this study is to create and test a treatment algorithm to guide the treatment of distal radius fractures in patients 65 and older and to obtain level-one evidence to determine the best method of treating distal radius fractures in this growing population demographic.
- Detailed Description
* Distal radius fractures with borderline alignment will be randomized to surgical intervention or conservative treatment.
* Patients will fill out subjective questionnaires at 0, 6weeks, 3months, 6 months, and 1 year.
* Patients will perform objective strength tests, dexterity tests and have their range of motion tested at 12 weeks, 6 months and 12 months.
Recruitment & Eligibility
- Status
- WITHDRAWN
- Sex
- All
- Target Recruitment
- 65
Inclusion Criteria
- Distal Radius Fracture
- Between 10 and 20 degrees of dorsal angulation
- Between 3 and 5mm of Ulnar positive variance
- Between 1 and 2mm intra Articular Step deformity
- Age 65 and older
Exclusion Criteria
- Pre-Morbid medical conditions which preclude surgical intervention
- Patients who do not live independently.
- Patients with an open fracture
- Associated soft tissue or skeletal injury to the same limb.
- Pre-existing wrist arthrosis or disability
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Primary Outcome Measures
Name Time Method Primary: Patient pain and disability. Will be quantified with Disabilities of the Arm and Shoulder (DASH) and Patient Rated Wrist Evaluation (PRWE). 0-1 year
- Secondary Outcome Measures
Name Time Method Secondary: To determine if other baseline factors influence outcome. For example, baseline activity levels (RAPA), home supports, hand dominance, and general mental health will be analyzed. over 1 year Secondary: To stratify results by age. (65-75, 77-80, and >80) 0-1 year Grip strength, Range of Motion and Dexterity testing of wrists 3 months to 12 months
Trial Locations
- Locations (2)
Hand and Upper Limb Centre
🇨🇦London, Ontario, Canada
Hand and upper Limb Centre
🇨🇦London, Ontario, Canada
Hand and Upper Limb Centre🇨🇦London, Ontario, Canada