A Prospective Randomized Evaluation of Splinting and Casting for Distal Radius Fractures in the Elderly
试验速览
- 阶段
- 不适用
- 入组人数
- 110
- 试验地点
- 2
- 主要终点
- Fracture treatment outcome
研究概览
简要总结
Distal radial fractures are the most common fracture of the upper extremity in adults, with a higher incidence in those 65 years of age or older. In 2009, Karl et al demonstrated that there are 25.42 distal radial fractures in this age group per 10,000 person-years in the US. Despite the frequency of distal radius fractures, there is still debate over the best method of treatment. In contrast to younger patients, patients who are 65 years or older appear to have acceptable functional outcomes and treatment satisfaction regardless of the presence of malalignment on radiographic imaging.Therefore, nonsurgical management has been shown to be a viable treatment option.
The purpose of this study is to compare non-operative treatment with a removable splint versus a short arm cast for distal radial fractures in patients who are 65 years of age or older who are indicated for non-operative fracture treatment.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patients greater than 65 years old with isolated distal radius fracture amenable to non-operative treatment
排除标准
- •Patients younger than 65 years old
- •Open fractures (Gustilo Grade 2 or 3)
- •Pathologic fractures
- •Multiple fractures in the upper or lower extremities
- •Fracture indicated for surgical repair of the distal radius for any reason
- •Lack of health insurance
- •Inability to provide consent to the study
结局指标
主要结局
Fracture treatment outcome
时间窗: 6 weeks
The rate of successful outcomes of participants who are treated for a distal radius fracture nonsurgically by splinting compared to participants who are treated by casting
次要结局
未报告次要终点