This study is designed as a multi-center randomized controlled trial, comparing two groups of patients with symptomatic extra-articular malunited distal radius fractures. One group of patients will undergo corrective surgery of the distal radius, with preoperative computer-assisted planning and virtual osteotomy, and the other group will undergo corrective surgery, with conventional (non-computer-assisted) preoperative planning. The investigators hypothesize that computer-assisted surgical planning will result in a better functional outcome.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
40
Using a CT reconstructing of affected distal radius and the normal contralateral limb, surgical guides for the osteotomy will be created to assist with surgical planning.
In this control group, the planning and surgical execution of the distal radius osteotomy will be performed as usual, without computer-assisted planning of the osteotomy.
Massachusetts General Hospital
Boston, Massachusetts, United States
Disability of the Shoulder and Hand Score
DASH score is a measure of upper extremity function. It ranges 0-100, where higher scores indication more disability and worse upper extremity function.
Time frame: 0, 3, 6, 12 months
Patient-Rated Wrist Evaluation (PWRE_
PRWE score is a measure of wrist function. It ranges 0-100, where higher scores indication more disability and worse wrist function.
Time frame: 0, 3, 6, 12 months
Numerical Rating Scale for Pain
Pain rated on a scale of 0-10, where 0 is no pain and 10 is severe pain
Time frame: 0, 3, 6, 12 months
Numerical Rating Scale for Satisfaction
Satisfaction rated on a scale of 0-10, where 0 is not satisfied and 10 is completely satisfied
Time frame: 0, 3, 6, 12 months
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