The first objective of this retrospective study is to compare dorsal and volar plate fixation for the treatment of distal radius fractures in a large patient groep. The second objective is to determine which one is the most appropriate treatment,…
ID
Source
Brief title
Condition
- Fractures
- Bone and joint therapeutic procedures
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The first primary outcome measure is the functional outcome: Disability of the
Arm, Shoulder and Hand questionnaire (DASH) and Patient-Rated Wrist Evaluation
(PRWE).
The second primary outcome measure is the rate and kind of complications.
Secondary outcome
Secundary outcomes are:
Range of motion,
Grip and pinch strength
Radiographic analysis
Background summary
Distal radius fractures are one of the most common fractures, representing 16%
of all fractures treated by orthopaedic trauma surgeons. Most distal radius
fractures can be treated with closed reduction (when it is displaced) and
immobilization in a plaster cast. Indication for surgical treatment is
instability of the distal radius fracture leading to malunion with poor
outcome. Various surgical interventions are available for the treatment of
unstable distal radius fractures, but none of these are considered as the most
appropriate treatment for unstable distal radius fractures. In the last decade,
open reduction and internal fixation by volar or dorsal plates has gained
widespread popularity.
Most clinical studies only reported the outcome of either volar or dorsal plate
plate fixation. Therefore, a comparison study between dorsal and volar fixation
in a large patient group is needed.
Study objective
The first objective of this retrospective study is to compare dorsal and volar
plate fixation for the treatment of distal radius fractures in a large patient
groep.
The second objective is to determine which one is the most appropriate
treatment, meaning fewer complications and better functional outcome.
Study design
Retrospective comparison study
Study burden and risks
The patients will return to azM after at least two years after the surgical
intervention. They have to fill out questionnaires and undergo physical
examination of their wrists. X-rays of both wrists will be made.
Postbus 5800
6202 AZ Maastricht
NL
Postbus 5800
6202 AZ Maastricht
NL
Listed location countries
Age
Inclusion criteria
- Patients of either sex from the age of 18 years or above
- Unstable distal radius fracture or malunion
- Open reduction and internal fixation with dorsal or volar plate
- At least 24 months of postoperative follow-up
Exclusion criteria
- Open or bilateral fractures, previous fractures of the wrist at the ipsilateral or contralateral arm, wrist fractures in polytraumatized patients, other fractures at the ipsilateral arm, fractures associated with neurovascular injury
- Local disorders (e.g., tumors, Paget*s disease)
- Motor function disorders (e.g., central motor disorder, myasthenia gravis)
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
In other registers
| Register | ID |
|---|---|
| Other | 3114 |
| CCMO | NL37589.068.11 |
| OMON | NL-OMON23579 |