The expectation of this study is that shorter duration of plaster cast immobilization is beneficial for the patients.
ID
Bron
Verkorte titel
Aandoening
Distal radial fracture / distale radius fractuur / polsfractuur
DASH / PRWE / functionele uitkomst / stijfheid / functiebeperking
Dislocatie, range of motion
Ondersteuning
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
the QuickDASH (Disabilities of the Arm, Shoulder and Hand) score, and PRWE (Patient Related Wrist Evaluation) score after one year
Achtergrond van het onderzoek
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.
Doel van het onderzoek
The expectation of this study is that shorter duration of plaster cast immobilization is beneficial for the patients.
Onderzoeksopzet
6 weeks - 12 weeks - 6 months - 1 year
Onderzoeksproduct en/of interventie
four versus six weeks of cast immobilization
Publiek
Eva van Delft
Department of Surgery, VU Medical Center, Boelelaan 1117
Amsterdam 1081 HV
The Netherlands
020-4444444
evavandelft@gmail.com
Wetenschappelijk
Eva van Delft
Department of Surgery, VU Medical Center, Boelelaan 1117
Amsterdam 1081 HV
The Netherlands
020-4444444
evavandelft@gmail.com
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
1. Age > 18 years;
2. Primary displaced unilateral fracture of the distal radius;
3. Independent for activities of daily living.
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
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.
Opzet
Deelname
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In overige registers
| Register | ID |
|---|---|
| NTR-new | NL6423 |
| NTR-old | NTR6600 |
| Ander register | : Volgt |