This study prospectively compares the performance of an above-elbow cast (long arm cast) and a below-elbow cast (short arm cast) to maintain reduction in conservatively managed distal radius fractures.
The choice of cast length in conservative management of distal radius fractures still represents a much debated controversy. Classic teaching was to immobilize the elbow to reduce risk of secondary displacement; however, short arm casts are felt to be equally effective with less complications and higher patient comfort. There is currently no conclusive evidence for or against immobilization of the elbow in patients treated with cast immobilization.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
353
Application of a below-elbow cast
Application of an above-elbow cast
Ospedale Civile Maggiore Borgo Trento
Verona, Italy
Secondary displacement ratio
Percentage of fractures that displace during treatment as subjectively assessed on radiographs by investigators.
Time frame: 35 days
Variation of radial length
Difference between radial length values as objectively measured on postreduction radiographs and endtreatment radiographs.
Time frame: 35 days
Variation of radial inclination
Difference between radial inclination values as objectively measured on postreduction radiographs and endtreatment radiographs.
Time frame: 35 days
Variation of volar tilt
Difference between volar tilt vaues as objectively measured on postreduction radiographs and endtreatment radiographs.
Time frame: 35 days
Post-treatment elbow range of motion (ROM)
Degrees of extension, flexion, pronation and supination of the elbow measured at the end of the treatment.
Time frame: 35 days
DASH score
Disability of Arm, Shoulder and Hand score measured at the end of the treatment relating to patient's comfort during treatment.
Time frame: 35 days
SF-12
Short Form 12 health questionnaire administered at the end of the treatment relating to patient's quality of life during treatment.
Time frame: 35 days
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