Cast Immobilization Versus Percutaneous Pinning for Fracture of Radius in an Elderly Patient

Not Applicable

Completed

• Conditions: Closed Fracture of Lower End of Radius
• Interventions: Procedure: Cast immobilization; Procedure: Percutaneous pinning

• Registration Number: NCT06209242
• Lead Sponsor: Queen Savang Vadhana Memorial Hospital, Thailand

Brief Summary

Distal radius fractures, particularly in elderly individuals, are a common problem associated with increasing age and hormonal changes. The choice of treatment, such as cast immobilization or percutaneous pinning, plays a crucial role in achieving optimal functional outcomes and facilitating a return to normal activities. This study aimed to compare the radiological and clinical outcomes of cast immobilization and percutaneous pinning in elderly patients with distal radius fractures.

Detailed Description

Background: Distal radius fractures, particularly in elderly individuals, are a common problem associated with increasing age and hormonal changes. The choice of treatment, such as cast immobilization or percutaneous pinning, plays a crucial role in achieving optimal functional outcomes and facilitating a return to normal activities. This study aimed to compare the radiological and clinical outcomes of cast immobilization and percutaneous pinning in elderly patients with distal radius fractures.

Methods: This prospective randomized controlled trial enrolled participants aged over 60 years with AO23-A2 or AO23-A3 distal radius fractures and no contraindications for local anesthesia. The participants were randomly assigned to either the cast immobilization or percutaneous pinning group. Follow-up was conducted for 3 months, during which radiological outcomes and clinical outcomes were assessed. Radiological parameters included radial angulation, while clinical outcomes were evaluated using the Disability of Arm, Shoulder, and Hand (DASH) score, range of motion, and grip strength. Additionally, data on complications and pain levels measured using the Visual Analog Scale (VAS) were collected for the percutaneous pinning group under local anesthesia.

Study Timeline

• Study Start: 2021-08-01
• Primary Completion: 2023-12-01
• Study Completion: 2023-12-01
• Study First Submitted: 2023-12-20
• Status Verified: 2024-01
• Study First Submitted QC: 2024-01-07
• Last Update Submitted: 2024-01-07
• Study First Posted: 2024-01-17
• Last Update Posted: 2024-01-17

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 26

Inclusion Criteria

• aged >60 years
• primary distal end radius fracture type AO23-A2 or AO23-A3

Exclusion Criteria

• multiple trauma
• onset > 2 weeks
• systemic diseases such as RA
• steroid user
• contraindication for LA

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SEQUENTIAL

Arm && Interventions

Group	Intervention	Description
Cast immobilization	Cast immobilization	Using cast immobilization with sugar tong and short arm splinting
Percutaneous pinning	Percutaneous pinning	Using k-wire percutaneous pinning

Primary Outcome Measures

Name	Time	Method
Radiological parameters	1 wk , 4 wk , 3 months	Radial angulation, radial inclination, ulnar deviation, radial height

Secondary Outcome Measures

Name	Time	Method
DASH score	1 month, 3 months	Functional outcome
Hand function	1 month, 3 months	Range of motion, grip strength

Trial Locations

Locations (1)

Queen Savang Vadhana Memorial hospital; 🇹🇭 Chon Buri, Sriracha, Thailand