Randomized Controlled Trial Comparing Forearm and Upper Arm Combi Cast for Immobilization After Closed Reduced Distal Forearm Fractures in Children
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Salter-Harris Type I
- Sponsor
- University Children's Hospital, Zurich
- Enrollment
- 120
- Locations
- 1
- Primary Endpoint
- secondary displacement of the fracture
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
The standard treatment for children with closed reduction of displaced distal forearm fractures is an immobilization with an upper arm combicast. The hypothesis is that an forearm immobilization with combicast in children 4-16 years might be sufficient.
Detailed Description
Children with distal radial or forearm fractures needing closed reduction are eligible for this study. By drawing lots either an immobilization with an upper arm or forearm combicast will be performed. Regular controls after 5, 10, 28 days, 4 weeks and 7 weeks will be performed to check the rate of displacement, consolidation time, wearing comfort and movement of the elbow joint after taking off the cast.
Investigators
Georg Staubli
Dr. med.
University Children's Hospital, Zurich
Eligibility Criteria
Inclusion Criteria
- •open growth Zone
- •displaced metaphyseal radial or forearm fractures including Salter harris fracture 1 and 2 which require closed reduction
- •written informed consent
Exclusion Criteria
- •intraarticular fractures
- •open fractures
- •unstable fractures
Outcomes
Primary Outcomes
secondary displacement of the fracture
Time Frame: Significant difference of secondary displaced fractures 28 days after closed reduction of fracture
radiological evaluation
Secondary Outcomes
- Mobilisation of elbow joint after cast removal(4 weeks and 7 weeks after closed reduction of fracture)
- Wearing comfort of the two different casts(5, 10, 28 days, 4 weeks, 7 weeks after closed reduction of fracture)