The purpose of this study is to evaluate function, pain and radiographic evaluation in patients treated with volar locked plating versus Hoffman II bridging external fixation in patients with extraarticular distal radius fractures, AO/OTA type A
We have designed a randomized prospective study for comparison of volar locked plating versus Hoffman II bridging external fixation in patients with extraarticular dislocated distal radius fractures AO/OTA type A3. On the basis of power analysis a total of 160 patients are to be included in this project. The follow-up period is 1 year and evaluation is based on x-ray analysis, grip strength, range of motion, pain and satisfaction with the treatment ( PRWE, Quick-DASH)
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
160
Operative treatment of distal radius fracture with volar locking plate
Patients with distal radius fracture operated with Hoffman external fixator
Orthopaedic depatment, Voss hospital
Bergen, Voss, Norway
Patient rated wrist evaluation (PRWE)score
Time frame: 3 months
Patient rated wrist evaluation (PRWE)score
Time frame: 6 weeks
Patient rated wrist evaluation (PRWE)score
Time frame: 12 months
Quick-DASH score
Time frame: 6 weeks, 3 and 12 months
Pain VAS-score
Time frame: 6 weeks, 3 and 12 months
Complications
Number of patients with per- and postoperative complications will be registrated. Types of expected complications: Tendon rupture, Tendon irritation, Carpal Tunnel Syndrome, Complex Regional Pain Syndrome, Screw displacement/screw loosening, Delayed fracture union
Time frame: 6 weeks, 3 and 12 months
Radiographic evaluation
Palmar tilt, Radial inclination, Ulnar variance, Fracture union
Time frame: 6 weeks and 12 months
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