Volar Plating or External Fixation of Dorsally Displaced Fractures of the Distal Radius?

Danderyd Hospital63 enrolled

Overview

Promising results have been reported after volar locked plating of unstable dorsally displaced fractures of the distal radius. It offers stable fixation and early mobilization. The investigators' aim is to test if volar locked plating results in better patient-perceived, objective functional and radiological outcomes compared to the less invasive external fixation that has been the standard operation for decades.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Radius Fractures

Interventions

closed reduction and external fixationPROCEDURE

Fixation of an unstable dorsally displaced fracture of the distal radius with bridging external fixation

Internal fixation with a volar locked platePROCEDURE

Open reduction and fixation of a unstable dorsally displaced fracture of the distal radius with a volar locked plate

Eligibility

Sex: ALLMin age: 20 YearsMax age: 70 Years

Medical Language ↔ Plain English

Inclusion Criteria: * An acute unilateral Colles' fracture (AO class A and C1) with a dorsal angulation of more than 20 degrees or radial shortening of 4 mm or more, AND * Patient aged 20-70 years with no previous fracture of either wrist. Exclusion Criteria: * Bilateral fractures, * Other current injury to the upper extremities, * Dementia, OR * Severe comminution or too small distal fragment to allow plating.

Locations (1)

Division of Orthopaedics, Karolinska Institutet, Department of Clinical Sciences, Danderyd Hospital

Stockholm, Sweden

Outcomes

Primary Outcomes

PRWE (patient rated wrist evaluation) score

Time frame: 3,6 and 12 months

Secondary Outcomes

Objective function (range of movement and grip strength)

Time frame: 3,6 and 12 months

Data from ClinicalTrials.gov

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