A Comparison of Radiographic and Clinical Results After Short Versus Conventional Plaster Cast Fixation Time in Reduced Distal Radius Fractures
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 109
- 主要终点
- Radiographic displacement
研究概览
简要总结
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.
详细描述
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
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
- 50 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •Fracture older than 3 Days
- •Previously fractured ipsi- or contralateral wrist
- •Inflammatory joint disorder
结局指标
主要结局
Radiographic displacement
时间窗: At admission, 10 days, 1 month and 12 months
Change in dorsal angulation, radial angulation and axial compression between follow-ups.
次要结局
- 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)
研究者
Albert Christersson
MD
Uppsala University Hospital
