Functional and radiological outcome of Colles fracture treated by closed reduction and cast application using hematoma block.
Overview
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- All India Institute of Medical Sciences,Guwahati,Assam.
- Enrollment
- 154
- Locations
- 1
- Primary Endpoint
- FUNCTIONAL OUTCOMES:
Overview
Brief Summary
The main goal of the study is to assess the functional and radiological outcome of Colles fracture treated with closed reduction and cast application using hematoma block and also to enumerate the complications found during the course of the treatment. There are multiple modalities of reduction technique for Colles fracture but noticeable gap in the literature regarding the use of hematoma block as an adjuvant technique in Closed reduction and can application for colles fracture. This study is focusing on the patient diagnosed with colles fracture of age 40 years and above.
Study Design
- Study Type
- Observational
Eligibility Criteria
- Ages
- 40.00 Year(s) to 90.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •Patient aged 40 years and above.
- •2.Patient diagnosed with Colles fracture, which is confirmed by clinical examination and radiological examination.
Exclusion Criteria
- •1.Previous wrist injuries or surgeries affecting the affected limb.
- •2.Distal radius fracture with interarticular extension seen in radiographs.
- •3.Polytrauma patient with concomitant injuries requiring surgical interventions.
- •4.Patients with contraindications to hematoma block, such as allergy to local anaesthetic, coagulopathy, or infection at the injection site.
Outcomes
Primary Outcomes
FUNCTIONAL OUTCOMES:
Time Frame: DAY-0 (PRE AND POST-REDUCTION VISIT) OF HOSPITAL VISIT,1ST WEEK, 4TH WEEK AND 6 WEEKS.
IMPROVEMENT IN RANGE OF MOTION OF THE AFFECTED WRIST JOINT COMPARED TO PRE-OPERATIVE MEASUREMENTS.
Time Frame: DAY-0 (PRE AND POST-REDUCTION VISIT) OF HOSPITAL VISIT,1ST WEEK, 4TH WEEK AND 6 WEEKS.
INCREASE IN GRIP STRENGTH AS MEASURED BY A DYNAMOMETRE POSTOPERATIVELY.
Time Frame: DAY-0 (PRE AND POST-REDUCTION VISIT) OF HOSPITAL VISIT,1ST WEEK, 4TH WEEK AND 6 WEEKS.
MAYO WRIST SCORE IS CALCULATED TO INTERPRET OUTCOMES.
Time Frame: DAY-0 (PRE AND POST-REDUCTION VISIT) OF HOSPITAL VISIT,1ST WEEK, 4TH WEEK AND 6 WEEKS.
ENHANCED PATIENT -REPORTED OUTCOMES, INCLUDING DECREASED PAIN LEVELS AND IMPROVED ABILITY TO PERFORM ACTIVITIES OF DAILY LIVING.
Time Frame: DAY-0 (PRE AND POST-REDUCTION VISIT) OF HOSPITAL VISIT,1ST WEEK, 4TH WEEK AND 6 WEEKS.
RADIOLOGICAL OUTCOMES: GRAHAM,S CRITERIA IS USED WHICH ACCOUNTS RADIAL TILT,RADIAL INCLINITION,RADIAL LENGTH AND ARTERIAL INCONGRUITY.
Time Frame: DAY-0 (PRE AND POST-REDUCTION VISIT) OF HOSPITAL VISIT,1ST WEEK, 4TH WEEK AND 6 WEEKS.
ABSENCE OF SECONDARY DISPLACEMENT OR LOSS OF REDUCTION DURING THE FOLLOW-UP PERIOD,INDICATING FRACTURE STABILITY AND SUCCESSFUL HEALING.
Time Frame: DAY-0 (PRE AND POST-REDUCTION VISIT) OF HOSPITAL VISIT,1ST WEEK, 4TH WEEK AND 6 WEEKS.
Secondary Outcomes
- To enumerate the complications during the course of treatment.(During the course of treatment at any point of time.)
Investigators
Dr Rahul Kar
All India Institute of Medical Sciences(AIIMS),Guwahati,Chansari,Assaam.