Even though broken wrists are of frequent occurrence, the investigators see a lack of extensive and well executed international studies to clarify which is the best treatment for elderly participants at 65+ years. The Danish Health and Medicines Authority recommend that broken wrists are treated with surgery by using plates and screws when certain radiological criteria are met. Recent studies show that, apparently, there are no advantages by operating rather than treating with plaster when comparing the functional results after one year. However, there is a 30 % risk of serious complications occurring after surgery. This study will examine the pros and cons that participants at 65+ years with broken wrists experience after, by lot, having been treated with either surgery (using plates and screws) or without surgery (using plaster for 5 weeks). The purpose of this study is to compare the complications and level of functioning between participants treated with surgery and without surgery.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
150
Open Reduction Internal Fixation
Regionshospitalet Randers
Randers, Denmark
Number of participants with treatment-related complications at baseline
Time frame: Baseline
Change in number of participants with treatment-related complications from baseline at week 2
Time frame: Week 2
Change in number of participants with treatment-related complications from baseline at week 5
Time frame: Week 5
Change in number of participants with treatment-related complications from baseline at month 6
Time frame: Month 6
Change in number of participants with treatment-related complications from baseline at 1 year
Time frame: 1 Year
Range of motion of the wrist at week 5
a. Flexion (0-90 degrees) b. Extension (0-75 degrees) c. Pronation (0-90 degrees) d. Supination (0-90 degrees) e. Radial flexion (0-25 degrees) f. Ulnar flexion (0-50 degrees)
Time frame: Week 5
Change in range of motion of the wrist from week 5 at month 6
a. Flexion (0-90 degrees) b. Extension (0-75 degrees) c. Pronation (0-90 degrees) d. Supination (0-90 degrees) e. Radial flexion (0-25 degrees) f. Ulnar flexion (0-50 degrees)
Time frame: Month 6
Change in range of motion of the wrist from month 6 at 1 year
a. Flexion (0-90 degrees) b. Extension (0-75 degrees) c. Pronation (0-90 degrees) d. Supination (0-90 degrees) e. Radial flexion (0-25 degrees) f. Ulnar flexion (0-50 degrees)
Time frame: 1 Year
Level of functioning at baseline
Using QuickDASH (Quick Disabilities of the Arm, Shoulder, and Hand)
Time frame: Baseline
Change in level of functioning from baseline at week 2
Using QuickDASH (Quick Disabilities of the Arm, Shoulder, and Hand)
Time frame: Week 2
Change in level of functioning from baseline at week 5
Using QuickDASH (Quick Disabilities of the Arm, Shoulder, and Hand)
Time frame: Week 5
Change in level of functioning from baseline at month 6
Using QuickDASH (Quick Disabilities of the Arm, Shoulder, and Hand)
Time frame: Month 6
Change in level of functioning from baseline at 1 year
Using QuickDASH (Quick Disabilities of the Arm, Shoulder, and Hand)
Time frame: 1 Year
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