The purpose of this study is to determine wether postoperative immobilization is effective in controlling the pain of patients with intra-articular distal radius fractures treated with volar locking plate fixation. The study hypotheses is that postoperative immobilization does not enhance the analgesia of these patients.
Volar locking plate fixation has been used as the gold standard treatment for intra-articular distal radius fractures. The need for postoperative immobilization after this type of fixation is controversial, with some authors advocating its use for analgesia. Conversely, the use of immobilization might retard the recovery of wrist range of motion and function. The objective of this study is to compare the level of pain and function of patients undergoing surgical fixation of distal radius fractures using or not postoperative immobilization. Patients will be randomly assigned to receive a plaster splint or conventional dressing immediately after the surgery. The main outcome is the level of pain in the first two weeks postoperatively.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
39
Conventional wrist dressing
Volar plaster splint
Institute of Orthopedics and Traumatology - University of Sao Paulo
São Paulo, São Paulo, Brazil
Level of pain
Visual analogue scale for pain
Time frame: 12 hours
Level of pain
Visual analogue scale for pain
Time frame: 18 hours
Level of pain
Visual analogue scale for pain
Time frame: 24 hours
Level of pain
Visual analogue scale for pain
Time frame: Once a day in the first week
Level of pain
Visual analogue scale for pain
Time frame: 2 weeks
Level of pain
Visual analogue scale for pain
Time frame: 6 weeks
Level of pain
Visual analogue scale for pain
Time frame: 3 months
Level of pain
Visual analogue scale for pain
Time frame: 6 months
DASH score
Disabilities of the Arm, Shoulder and Hand (DASH)
Time frame: 6 weeks
DASH score
Disabilities of the Arm, Shoulder and Hand (DASH)
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Time frame: 3 months
DASH score
Disabilities of the Arm, Shoulder and Hand (DASH)
Time frame: 6 months
Wrist flexion-extension arc
Assessed by goniometry
Time frame: 2 weeks
Wrist flexion-extension arc
Assessed by goniometry
Time frame: 6 weeks
Wrist flexion-extension arc
Assessed by goniometry
Time frame: 3 months
Wrist flexion-extension arc
Assessed by goniometry
Time frame: 6 months
Forearm rotation arc
Assessed by goniometry
Time frame: 2 weeks
Forearm rotation arc
Assessed by goniometry
Time frame: 6 weeks
Forearm rotation arc
Assessed by goniometry
Time frame: 3 months
Forearm rotation arc
Assessed by goniometry
Time frame: 6 months
Tramadol use
Percentage of patients requesting additional analgesia with tramadol in the first week
Time frame: Once a day in the first week post-op
Complication
Percentage of patients presenting with any type of local orthopedic complication
Time frame: up to 24 weeks