Status:

UNKNOWN

Volar Locking Plate Versus External Fixation for Distal Radius Fracture - a Longterm Follow up

Lead Sponsor:

Olof Skoldenberg

Collaborating Sponsors:

The Swedish Association for Survivors of Accident and Injury

Conditions:

Radius Fracture Distal

Surgery

Eligibility:

All Genders

20-74 years

Phase:

NA

Brief Summary

A 10-year follow up of a fusion of two earlier published randomized controlled trials. 203 patients with displaced distal radius fractures were randomized to surgery with a volar locking plate or exte...

Detailed Description

Follow up includes PROMs (DASH, PRWE, EQ-5D), radiological assesment and objective tests by a hand occupational therapist (ROM, grip strength). Previous Clinical trials registration for the original ...

Eligibility Criteria

Inclusion

  • DS center
  • acute unilateral dorsally displaced distal radius fracture with a axial shortening of at least 4 mm or a dorsal displacement of at least 20 degrees.
  • Age 20-70
  • SÖS center
  • Age 50-74 for women and 60-74 for men
  • injury only after fall from a standing height
  • wrist radiography of at least 20 degrees dorsal dislocation and/or at least 5 mm axial shortening
  • good knowledge of written and spoken swedish
  • fracture diagnosed within 72 hours from injury
  • patient resident within the catchment area of SÖS center

Exclusion

  • DS center:
  • no previous fracture of either wrist
  • ipsilateral acute fracture of the upper extremity
  • medicated with warfarin
  • unable to cooperate with follow-up (dementia, substance abuse, psychiatric illness, language problems)
  • open fracture
  • fracture that was not amenable by both methods (distal fragment to small or to comminuted)
  • SÖS center:
  • former disability of either wrist
  • other concomitant injuries
  • rheumatoid arthritis or other severe joint disorder
  • Dementia or pfeiffer score under 5 points
  • drug abuse, alcohol abuse or psychiatric disorder
  • dependency in activity of daily living
  • medical condition contradicting general anesthesia

Key Trial Info

Start Date :

April 1 2022

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

October 1 2023

Estimated Enrollment :

203 Patients enrolled

Trial Details

Trial ID

NCT05371938

Start Date

April 1 2022

End Date

October 1 2023

Last Update

May 12 2022

Active Locations (1)

Enter a location and click search to find clinical trials sorted by distance.

Page 1 of 1 (1 locations)

1

Karolinska Institutet, Department of Clinical Sciences, Danderyd Hospital, Division of Ortopeadics

Stockholm, Sweden, 182 88