Refraining From Closed Reduction of Dislocated Distal Radius Fractures in the Emergency Department
概览
- 阶段
- 不适用
- 干预措施
- 未指定
- 疾病 / 适应症
- Wrist Fractures
- 发起方
- Maasstad Hospital
- 入组人数
- 134
- 试验地点
- 1
- 主要终点
- daily pain scores
- 状态
- 招募中
- 最后更新
- 11个月前
概览
简要总结
The investigators test the efficacy of closed reduction in displaced distal radial fractures in the emergency department.
详细描述
in a multicenter cluster randomized trial the investigators aim to include 134 patients with displaced distal radial fractures awaiting surgery and randomize between closed reduction followed by plaster casting and plaster casting alone. Primairy outcomes are pain in the days leading up to surgery and postoperative hand- and wrist function. Secondary outcomes are length of stay in the emergency department, length of surgey, return to work and complications.
研究者
入排标准
入选标准
- •displaced distal radial fracture eligible for surgery
排除标准
- •ISS traumascore \>16
- •open fracture
- •multiple fractures in ipsilateral extremety
- •neurovascular damage
- •previous injury in the same wrist
- •inability to complete questionnaires
结局指标
主要结局
daily pain scores
时间窗: usually 2-10 days
pain reported in the days awaiting surgery on the visual analog scale (VAS) scoring from 0 to 10 where 0 equals no pain and 10 the worst pain imaginable.
次要结局
- Number of complications(1 year)
- function(6 weeks, 3, 6 and 12 months)
- Wrist mobility(6 weeks and 3 months)
- quality of life in EQ5D5L(1 year)
- length of stay in emergency department(baseline)