The purpose of this study is to examine whether operation and fixation with a metal plate gives better result from the patient's perspective than plaster treatment in elderly patients with a displaced wrist fracture.
We will perform a prospective randomized clinical trial comparing open reduction and internal fixation with a volar plate with closed reduction and plaster treatment in elderly patients with a displaced Colles' fracture in order to test the null hypothesis that the patient-perceived result is equal after conservative or operative treatment. Secondary outcomes are objective physical measurements.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
80
flexor carpi radialis approach, open reduction, fixed-angle volar plate, plaster cast 2 weeks at the surgeon's discretion
closed reduction, below elbow plaster cast, semicircular for 5 week
Division of Orthopaedics Danderyd Hospital
Stockholm, Sweden
patient-perceived disability measured by the PRWE and DASH questionnaires
Time frame: one year after wrist fracture
impairments (grip strength and range of motion compared with the uninjured wrist)
Time frame: one year after wrist fracture
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