Effects of Ulnar Styloid and Sigmoid Notch Fractures on Postoperative Wrist Function of Distal Radius Fracture Patients

• Conditions: Radius Fracture Distal
• Interventions: Procedure: open reduction and internal fixation

• Registration Number: NCT03359278
• Lead Sponsor: Peking University People's Hospital

Brief Summary

To study the effects of ulnar styloid and sigmoid notch fractures on postoperative wrist function in patients with distal radius fracture

Detailed Description

Patients treated for distal radius fracture in the Department of Orthopedic Trauma at the People's Hospital of Peking University will be selected for outpatient follow-up. Evaluation was based on Sartiento's modification of the Gartland and Werley score. Efficacy was assessed with wrist pain as the focus.The follow-up time is one year after the operation。

Study Timeline

• Status Verified: 2017-11
• Study First Submitted: 2017-11-26
• Study First Submitted QC: 2017-11-30
• Last Update Submitted: 2017-11-30
• Study First Posted: 2017-12-02
• Last Update Posted: 2017-12-02
• Study Start: 2018-04-01
• Primary Completion: 2020-04-01
• Study Completion: 2020-04-01

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 139

Inclusion Criteria

1. unilateral distal radius fracture with or without ulnar styloid fracture, closed fracture
2. distal radius fracture repaired by internal fixation using a palmar plate
3. age of ≥18 years
4. integral clinical data, a postoperative follow-up period of ≥12 months
5. distal radius fracture with normal union
6. provision of informed consent after receiving an explanation of the purpose of this study

Exclusion Criteria

1. old fracture, pathological fracture, open fracture
2. bilateral distal radius fracture
3. fracture of other parts of the wrist (excluding the ulnar styloid)

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
open reduction and internal fixation	open reduction and internal fixation	The volar approach was used for open reduction and internal fixation of distal radius fractures

Primary Outcome Measures

Name	Time	Method
Sartiento's modification of the Gartland and Werley score	1 year after surgery	Sartiento's modification of the Gartland and Werley score included evaluation of residual deformity, subjective evaluation of pain, objective evaluation of range of wrist motion and grip strength, and evaluation of complications of arthritis, neurological symptoms, and finger dysfunction. Efficacy was judged as excellent, good, fair, or poor, and the sum of the above scores was calculated (excellent, 0-2 points; good, 3-8 points; fair, 9-20 points; and poor, ≥21 points)

Secondary Outcome Measures

Name	Time	Method
ulnar wrist pain(VAS score)	1 year after surgery	Evaluation of ulnar wrist pain based on VAS score.Visual Analogue Scale/Score:A cross line of 10 cm on the paper, 0 at one end of the horizontal line, is painless; the other end is 10, indicating a sharp pain; the middle part indicates a different degree of pain.