Clinical Results of Minimally Invasive Plate Osteosynthesis Versus Conventional Approach in Volar Locking Plate for Close Fractures of Distal End Radius Under WALANT
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Radius; Fracture, Lower or Distal End
- Sponsor
- Police General Hospital, Thailand
- Enrollment
- 68
- Locations
- 1
- Primary Endpoint
- Pain Visual analogue scale
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
The goal of this clinical trial is to compare the Minimally Invasive Plate Osteosynthesis (MIPO) approach with conventional methods in volar locking plate treatment for distal end radius fractures under the Wide Awake Local Anesthesia No Tourniquet (WALANT) technique. The main question it aims to answer is: Does the MIPO approach provide better pain control than the conventional approach of volar locking plate fixation in distal radius fractures under WALANT? Participants will be requested to record their pain on the Visual Analog Scale (VAS), assess their functional scores, and undergo postoperative radiographic evaluations. Researchers will compare the MIPO group and the conventional group to determine the postoperative pain VAS scores, shedding light on the comparative effectiveness of the two approaches.
Detailed Description
Gap of knowledge * No comparison of conventional Versus MIPO technique under WALANT * No result in acute post-operative pain
Investigators
Suphasan Keatisuwan
Principal Investigator
Police General Hospital, Thailand
Eligibility Criteria
Inclusion Criteria
- •isolated closed fractures of the distal end radius requiring surgery
- •aged 18 years and older
Exclusion Criteria
- •Patients with bone fractures lasting more than 21 days
- •open fractures
- •articular multi-fragmentary comminuted fractures of the distal radius
- •not suitable to undergo volar approach surgery
- •individuals with combined carpal fractures or dislocation
- •ulna fractures
- •associated injuries
- •a history of previous wrist surgery
- •diabetes mellitus
- •chronic wrist inflammation
Outcomes
Primary Outcomes
Pain Visual analogue scale
Time Frame: Postoperative day 0-7 and 2,6,10,14,24 weeks
pain 0-10, minimum = 0 (best) , maximum = 10 (worst)
Secondary Outcomes
- Satisfy(Postoperative 24 weeks)
- skin incision(Postoperative 2 weeks)
- Grip strength(Postoperative 2,6,10,14,24 weeks)
- Pinch strength(Postoperative 2,6,10,14,24 weeks)
- Range of motion(Postoperative 2,6,10,14,24 weeks)
- ulnar variance(Postoperative 2, 24 weeks)
- operation time(Intraoperative)
- Quick Disabilities of the Arm, Shoulder and Hand(Postoperative 2,6,10,14,24 weeks)
- Aesthetics(Postoperative 24 weeks)
- Volar tile(Postoperative 2, 24 weeks)
- radial inclination(Postoperative 2, 24 weeks)
- morphine IV use(Postoperative day 0-2)
- complication(up to 24 weeks)