A Comparison of Radiographic and Clinical Results After Short Versus Conventional Plaster Cast Fixation Time in Reduced Distal Radius Fractures

Uppsala University Hospital0 sites109 target enrollmentSeptember 2002

ConditionsColles' Fracture

Overview

Phase: Not Applicable
Intervention: Not specified
Conditions: Colles' Fracture
Sponsor: Uppsala University Hospital
Enrollment: 109
Primary Endpoint: Radiographic displacement
Status: Completed
Last Updated: 9 years ago

Overview Investigators Eligibility Criteria Outcomes Similar Trials

Overview

Brief Summary

The purpose of this study is to compare the radiographic and clinical outcomes after short versus conventional plaster cast fixation time in reduced distal radius fractures.

Detailed Description

Displaced distal radius fractures treated with closed reduction and plaster cast fixation are radiographed 10 days (range 8-13 days) after reduction and randomized to one of two study arms; immediate removal of plaster cast or continued fixation in plaster cast for another 3 weeks. Radiographic and Clinical outcome measurements at 1, 4 and 12 months

Registry

clinicaltrials.gov

Start Date

September 2002

End Date

January 2010

Last Updated

9 years ago

Study Type

Interventional

Study Design

Parallel

Sex

All

Investigators

Sponsor

Uppsala University Hospital

Responsible Party

Principal Investigator

Albert Christersson

Uppsala University Hospital

Eligibility Criteria

Inclusion Criteria

•Distal radius fracture with intact ulna (except for processus styloideus ulnae)
•Dorsal angulation 5-40 degrees
•Axial compression \< 4 mm
•Intra articular step-off \< 1 mm
•Low energy trauma
•Closed fracture
•Suitable for treatment with closed reduction and plaster cast fixation

Exclusion Criteria

•Fracture older than 3 Days
•Previously fractured ipsi- or contralateral wrist
•Inflammatory joint disorder

Outcomes

Primary Outcomes

Radiographic displacement

Time Frame: At admission, 10 days, 1 month and 12 months

Change in dorsal angulation, radial angulation and axial compression between follow-ups.

Secondary Outcomes

Assessment of pain intensity(10 days, 1, 4 and 12 months)
Range of motion(Uninjured side. Injured side at 1, 4 and 12 months)
Assessment of functional outcome with three different functional assessment scores; 1,The modified de Bruijn wrist score 2, The modified Mayo wrist scoring chart 3, The Gartland and Werley Demerit wrist point system modified by Sarmiento.(12 months)
Grip strength(Uninjured side. Injured side at 1, 4 , 12 months)