Status:
COMPLETED
Cast Versus Splint in Children With Acceptably Angulated Wrist Fractures
Lead Sponsor:
The Hospital for Sick Children
Conditions:
Distal Radius Fractures
Eligibility:
All Genders
5-12 years
Phase:
PHASE4
Brief Summary
The study will compare the effectiveness of a prefabricated wrist splint with thermoplast reinforcements versus a short arm cast in skeletally immature children. The hypothesis is that the commercial...
Detailed Description
Acceptability angulated wrist bone fractures in children carry an excellent long-term prognosis because of the unique capacity of skeletally immature bones to heal via remodeling. Their management var...
Eligibility Criteria
Inclusion
- Skeletally immature children.
- Children must have a bone age of ≥ 5 years of age.
- Less than or equal to 15° angulation in the sagittal plane and ≤ 0.5 cm displacement in the frontal plane.
- Therefore, all skeletally immature children ≥ 5 years and with a bone age of ≤ 11 years who present to the ED of HSC with acute distal metaphyseal radius +/- ulnar fractures that meet criteria for acceptable angulation and displacement will be eligible for enrollment.
Exclusion
- Age \< 5 years or \> 12
- The following diagnoses of distal radius fracture: buckle fracture, growth plate fractures of any kind, distal radius metaphyseal fractures with greater than 15° of angulation in the sagittal plane and/or more than 0.5 cm of displacement in the frontal plane.
- All open fractures which require a surgical debridement.
- All children at risk for pathological fractures such as those with congenital or acquired generalized bony disease. Stricter immobilization and a different prognosis may be applicable to this population.
Key Trial Info
Start Date :
January 1 2007
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
October 1 2009
Estimated Enrollment :
96 Patients enrolled
Trial Details
Trial ID
NCT00610220
Start Date
January 1 2007
End Date
October 1 2009
Last Update
October 9 2017
Active Locations (1)
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1
The Hospital for Sick Children
Toronto, Ontario, Canada