Reduced distal radius fractures, primarily treated with a circumferential cast instead of a dorsal splint, results in less fracture re-displacement, fewer surgical interventions, less complications and lower costs.
ID
Bron
Verkorte titel
Aandoening
Displaced distal radius fractures, suitable for conservative treatment after reduction.
Ondersteuning
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
Fracture re-displacement
Achtergrond van het onderzoek
Rationale:
Distal radius fractures (DRF) are the most common fractures in the adult population. There is no consensus on conservative treatment of a displaced DRF.
Objective:
To evaluate the cost-effectiveness of treatment with a circumferential cast compared to treatment with a splint, in patients with a reduced distal radius fracture. The hypothesis is that reduced distal radius fractures treated with a circumferential cast instead of a splint, results in less fracture re-displacement, fewer surgical interventions, less complications and lower costs.
Study design: Cluster randomized design, randomization will take place on hospital level. All patients will be followed for 1 year.
Study population: Adult patients with a primary displaced fracture of the radius which is treated conservatively after closed reduction.
Intervention:
In one group the fracture will be initially immobilized with a circumferential below-elbow cast. In the other group the fracture will be initially immobilized with a below-elbow splint.
Doel van het onderzoek
Reduced distal radius fractures, primarily treated with a circumferential cast instead of a dorsal splint, results in less fracture re-displacement, fewer surgical interventions, less complications and lower costs.
Onderzoeksopzet
Baseline, 1 week, 2 weeks, 6 weeks, 3 months, 6 months, 12 months
Onderzoeksproduct en/of interventie
Below-elbow circumferential casting or below-elbow splinting
Publiek
Wetenschappelijk
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
Primary displaced distal radius fracture, treated with closed reduction. Age above 18 years
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
Failure to reach proper fracture alignment after reduction(s), insufficient command of the Dutch language, both-bone fracture (styloid fracture excluded), concomitant injuries to ipsilateral extremity, multiple trauma patient
Opzet
Deelname
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In overige registers
| Register | ID |
|---|---|
| NTR-new | NL8311 |
| CCMO | NL71020.078.19 |
| OMON | NL-OMON48181 |