Open reduction and internal plate fixation has a better functional outcome compared to closed reduction and plaster immobilisation.
ID
Bron
Verkorte titel
Aandoening
dislocated, articular, distal radius, fracture, ORIF, plaster
gedisloceerd, articulair, distale radius, fractuur, ORIF, gips
Ondersteuning
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
PRWE
Achtergrond van het onderzoek
There is no consensus about the best treatment for patients with displaced complete articular distal radius fractures (AO type C fractures). Despite this lack of consensus and the lack of available literature on comparative data to guide treatment for this patient population, operative treatment with plate fixation has gained popularity. The aim of our study is to compare the functional outcome of open reduction and plate fixation with closed reduction and plaster immobilisation in adult patients (18-65 years) with displaced complete articular distal radius fractures.
Doel van het onderzoek
Open reduction and internal plate fixation has a better functional outcome compared to closed reduction and plaster immobilisation.
Onderzoeksopzet
1 week, 2/3 weeks, 6 weeks, 3 monhts, 6 months, 12 months
Onderzoeksproduct en/of interventie
Open reduction and internal plate fixation versus plaster immobilisation
Publiek
P.O. Box 22660
J.C. Goslings
Meibergdreef 9
Amsterdam 1100 DD
The Netherlands
+31 (0)20 5666019
j.c.goslings@amc.uva.nl
Wetenschappelijk
P.O. Box 22660
J.C. Goslings
Meibergdreef 9
Amsterdam 1100 DD
The Netherlands
+31 (0)20 5666019
j.c.goslings@amc.uva.nl
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
• Patients from 18 – 75 years
• AO type C displaced distal radius fracture, as classified on lateral, posterior anterior and lateral carporadial radiographs/CT-scan by a radiologist or trauma surgeon
• Fracture displacement is defined by the AO foundation as ‘fragments not perfectly anatomically aligned’. Acceptable closed reduction obtained immediately after admission to the Emergency Department (<12hrs)
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
• Patients with impaired wrist function prior to injury due to arthrosis/neurological disorders of the upper limb
• Open distal radius fractures
• Multiple trauma patients (Injury Severity Score (ISS) ≥16)
• Other fractures of the affected extremity (except from ulnar styloid process)
• Fracture of other wrist
• Insufficient comprehension of the Dutch language to understand a rehabilitation program and other treatment information as judged by the attending physician
• Patient suffering from disorders of bone metabolism other than osteoporosis (i.e. Paget’s disease, renal osteodystrophy, osteomalacia)
• Patients suffering from connective tissue disease or (joint) hyperflexibility disorders such as Marfan’s, Ehler Danlos or other related disorders
Opzet
Deelname
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In overige registers
| Register | ID |
|---|---|
| NTR-new | NL4777 |
| NTR-old | NTR4915 |
| CCMO | NL51544.018.14 |
| OMON | NL-OMON45181 |