Unstable Dorsally Displaced Fractures of the Distal Radius in the Elderly. A Randomized Comparison Between Operative Fixation and Plaster Cast Treatment.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Fracture of the Distal Radius
- Sponsor
- Danderyd Hospital
- Enrollment
- 80
- Locations
- 1
- Primary Endpoint
- patient-perceived disability measured by the PRWE and DASH questionnaires
- Last Updated
- 7 years ago
Overview
Brief Summary
The purpose of this study is to examine whether operation and fixation with a metal plate gives better result from the patient's perspective than plaster treatment in elderly patients with a displaced wrist fracture.
Detailed Description
We will perform a prospective randomized clinical trial comparing open reduction and internal fixation with a volar plate with closed reduction and plaster treatment in elderly patients with a displaced Colles' fracture in order to test the null hypothesis that the patient-perceived result is equal after conservative or operative treatment. Secondary outcomes are objective physical measurements.
Investigators
Sara Severin Wahlgren
MD
Danderyd Hospital
Eligibility Criteria
Inclusion Criteria
- •Unilateral unstable dislocated dorsally angulated fracture of the distal radius (radial shortening ≥4 mm and/or dorsal angulation ≥20°).
Exclusion Criteria
- •Previous displaced fracture of the distal radius.
- •Additional fractures of the upper extremities, an open fracture, terminal disease, patient not fit for surgery, unwilling or unable to co-operate with follow-up (advanced dementia (SPMSQ\<5), psychiatric illness, alcohol abuse).
Outcomes
Primary Outcomes
patient-perceived disability measured by the PRWE and DASH questionnaires
Time Frame: one year after wrist fracture
Secondary Outcomes
- impairments (grip strength and range of motion compared with the uninjured wrist)(one year after wrist fracture)