Treatment of reducible unstable fractures of the distal extremity of the radius: external fixation versus percutaneous pinning - a randomised clinical trial

Federal University of Sao Paulo (Brazil)0 个研究点目标入组 100 人开始时间: 2009年12月2日最近更新: 2015年1月13日

适应症

试验速览

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•The patients were adults aged over 40 years (either sex) who presented with acute fractures with displacement up to 10 days old without previous treatment. The fractures were categorised using the Cooney classification 10 as unstable and reducible: type IIb and type IVb. Fractures were considered unstable if they presented three or more of the following factors at the initial radiographic examination:
•1. Shortening of the radius by more than 5 mm
•2. Dorsal angulation greater than 20 degrees
•3. Joint incongruence
•4. Fracture associated with the styloid process of the ulna
•5. Dorsal comminution of the metaphysis
•6. Aged greater than 60 years

•1. Fractures with volar angulation (Smith fracture)
•2. Joint margin fractures (Barton fracture)
•3. Open or bilateral fractures
•4. Fractures that could not be reduced
•5. Patients with previous histories of degenerative disease, wrist joint trauma, or traumatic injuries associated with the fracture that would make it impossible to apply the proposed surgical methods or evaluate the results
•6. Patients who refused to sign the free and informed consent statement

发起方

Federal University of Sao Paulo (Brazil)