Open reduction and internal fixation (ORIF) using locking-plate distal radius osteosynthesis leads to an improved functional outcome (DASH score) in elderly (>50 years) (independent in activities of daily living) patients with a displaced distal…
ID
Bron
Verkorte titel
Aandoening
distal radius
fracture
plate fixation
plaster cast immobilization
Ondersteuning
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
Main study parameter/endpoint <br>
Functional outcome parameters: <br>
Disability of Arm, Shoulder and Hand (DASH) score, Musculoskeletal Function Assessment (MFA)
Achtergrond van het onderzoek
Complication rate for treatment of displaced intra-articular distal radius fractures is low, although functional disability remains a significant problem with up to 30% of patients suffering long-term functional restrictions after conservative treatment. Whether operative correction improves this functional outcome compared to conservative treatment remains unclear.
Doel van het onderzoek
Open reduction and internal fixation (ORIF) using locking-plate distal radius osteosynthesis leads to an improved functional outcome (DASH score) in elderly (>50 years) (independent in activities of daily living) patients with a displaced distal radius fracture (AO type A2, A3, B1, C1, and C2).
Onderzoeksopzet
Follow-up 1 month, and 3, 6, 12 and 24 months
Onderzoeksproduct en/of interventie
Open reduction and internal fixation using locking-plate and angular stable screw fixation versus plaster cast immobilization
Publiek
University Medical Center Maastricht
PO Box 5800
M. Poeze
Maastricht 6202 AZ
The Netherlands
+31 (0)43 3876543
m.poeze@surgery.azm.nl
Wetenschappelijk
University Medical Center Maastricht
PO Box 5800
M. Poeze
Maastricht 6202 AZ
The Netherlands
+31 (0)43 3876543
m.poeze@surgery.azm.nl
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
1. Age > 50 years
2. Primary displaced unilateral fracture of distal radius (open fractures are included)
a. AO (Arbeitsgemeinschaft fur Osteosynthesefragen) type A2
b. AO type A3
c. AO type B1
d. AO type C1
e. AO type C2
3. Independent for activities of daily living (yes/no question)
4. Inadequate reduction of distal radius fracture at emergency department (For specific criteria see below) and/or
5. Inadequate reduction of distal radius at 1 week follow-up at the outpatient department: Therapeutic failure is defined as fracture displacement when the dorsal or volar angulations are more than 10º, intra-articular step-off > 1mm, or the ulnar variance is more than 3mm. This failure accounts for both redisplacement after initial adequate alignment during conservative treatment (including manipulative reduction) on the emergency department) and for secondary failure after surgical reduction.
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
1. Fracture of contralateral arm
2. Other fractures at the ipsilateral arm (excluded carpal fractures)
3. Pre-existent abnormalities fractured distal radius
4. Primary unilateral fracture distal radius AO type A1, B2, B3 and C3
5. Pathological fractures (due to metastasis, secondary osteoporosis)
Opzet
Deelname
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