Conservative conservative treatment of displaced wrist fractures with a cast in which the wrist is 20 degrees dorsiflexed is better than a neutral position in terms of re-dislocation and functional outcome.
ID
Bron
Verkorte titel
Aandoening
posterior displaced distal radius fracture
Ondersteuning
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
1. Functional outcome measured with the PRWE questionnnaire;<br>
2. objective functional parameters: Grip strength
and range of motion;<br>
3. amount of redislocation as measured on control X-rays.
Achtergrond van het onderzoek
This randomized, controlled, prospective study will compare conservative treatment of displaced distal radius fractures with a plaster cast in a neutral position against a cast with the wrist 20 degrees dorsiflexed. Functional outcome and redislocation are objectively assesed.
Doel van het onderzoek
Conservative conservative treatment of displaced wrist fractures with a cast in which the wrist is 20 degrees dorsiflexed is better than a neutral position in terms of re-dislocation and functional outcome.
Onderzoeksopzet
1 week: radiologic control, VAS-score to evaluate pain;
6 weeks, objective functional parameters: Grip strength and range of motion, VAS score and assess occurence of Dystrophy;
3 months and 6 months: subjective and objective functional outcome.
Onderzoeksproduct en/of interventie
Conservative treatment with a plaster cast.
Algemeen / deelnemers
Viecurie MC
Tegelseweg 210
D. Rijpsma
Venlo 5912 BL
The Netherlands
douwerijpsma@viecuri.nl
Wetenschappers
Viecurie MC
Tegelseweg 210
D. Rijpsma
Venlo 5912 BL
The Netherlands
douwerijpsma@viecuri.nl
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
1. Ages 18 and over;
2. unilateral distal radius fracture with posterior displacement;
3. Normal wrist function prior to trauma;
4. Presents to ER at Viecuri Venlo.
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
1. Indication for operative treatment;
2. previous wrist fracture;
3. multitrauma;
4. unable to attend to follow up at the participating hospital;
5. non-dutch speakers or persons with a cognitive deficit.
Opzet
Deelname
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In overige registers
| Register | ID |
|---|---|
| NTR-new | NL1546 |
| NTR-old | NTR1618 |
| Ander register | : 01 |
| ISRCTN | ISRCTN wordt niet meer aangevraagd |