No registrations found.
ID
Source
Brief title
Health condition
Distal radial fracture / distale radius fractuur / polsfractuur
DASH / PRWE / functionele uitkomst / stijfheid / functiebeperking
Dislocatie, range of motion
Sponsors and support
Intervention
Outcome measures
Primary outcome
the QuickDASH (Disabilities of the Arm, Shoulder and Hand) score, and PRWE (Patient Related Wrist Evaluation) score after one year
Secondary outcome
1. Functional outcome (QuickDash/PRWE) after 8 weeks, 3 months and 6 months
2. Range of motion
3. Pain level
4. Lidström-score
5. Fracture related complications
Background summary
Up to 30% of patients with a dislocated distal radius fracture suffer from long-term functional restrictions following conservative treatment. It remains unclear, whether duration of cast immobilisation influences functional outcome. The aim of the study is to evaluate whether the functional outcome of dislocated distal radial fractures could be improved by shortening the period of immobilization so that reactivation can start earlier. In this study a four weeks of plaster cast immobilization period is compared with six weeks of immobilization for adult patients with reduced distal radial fractures.
The expectation of this study is that shorter duration of plaster cast immobilization is beneficial for the patients. This risk of specific complications is low and generally similar in both treatment options. Follow-up is standardized according to current trauma guidelines; present literature indicates that both treatment options from this study are accepted protocols for treatment of displaced distal radius fractures. This trial will provide level-1 evidence for the comparison of functional outcome between the two treatment options for dislocated distal radial fractures.
Study objective
The expectation of this study is that shorter duration of plaster cast immobilization is beneficial for the patients.
Study design
6 weeks - 12 weeks - 6 months - 1 year
Intervention
four versus six weeks of cast immobilization
Eva van Delft
Department of Surgery, VU Medical Center, Boelelaan 1117
Amsterdam 1081 HV
The Netherlands
020-4444444
evavandelft@gmail.com
Eva van Delft
Department of Surgery, VU Medical Center, Boelelaan 1117
Amsterdam 1081 HV
The Netherlands
020-4444444
evavandelft@gmail.com
Inclusion criteria
1. Age > 18 years;
2. Primary displaced unilateral fracture of the distal radius;
3. Independent for activities of daily living.
Exclusion criteria
1. Fracture of contralateral wrist;
2. Other fractures at the ipsilateral upper extremity (excluded fractures of the hand and fractures of the styloid process of the ulna);
3. Pre-existent abnormalities or functional deficits of the fractured wrist;
4. Open fractures.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL6423 |
| NTR-old | NTR6600 |
| Other | : Volgt |