The investigators test the efficacy of closed reduction in displaced distal radial fractures in the emergency department.
in a multicenter cluster randomized trial the investigators aim to include 134 patients with displaced distal radial fractures awaiting surgery and randomize between closed reduction followed by plaster casting and plaster casting alone. Primairy outcomes are pain in the days leading up to surgery and postoperative hand- and wrist function. Secondary outcomes are length of stay in the emergency department, length of surgey, return to work and complications.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
134
the intervention of closed fracture reduction widely known and part of daily practice. we test the eficacy of this intervention by not performing it in our test group.
no reduction will be performed
Maasstad Hospital
Rotterdam, Maasstadweg 21, Netherlands
RECRUITINGdaily pain scores
pain reported in the days awaiting surgery on the visual analog scale (VAS) scoring from 0 to 10 where 0 equals no pain and 10 the worst pain imaginable.
Time frame: usually 2-10 days
function
hand function as reported by the patient reported hand and wrist evaluation (PRHWE) questionnaire. scoring from 0 to 100 with 0 meaning perfect function with no impairment or pain and 100 meaning no function at all with maximum pain.
Time frame: 6 weeks, 3, 6 and 12 months
Number of complications
The investigators will report all complications including, but not limited to: nerve damage, CRPS, infection, bleeding, malunion and need for revision surgery will be tracked.
Time frame: 1 year
Wrist mobility
Range of motion will be reported in form of wrist flexion and extension and pro- and supination, in degrees.
Time frame: 6 weeks and 3 months
length of stay in emergency department
length of stay in emergency department
Time frame: baseline
quality of life in EQ5D5L
reported by the EQ5D5L questionnaire. EQ-5D-5L health states can be summarised using a 5-digit code or represented by a single summary number (index value), which reflects how good or bad a health state is according to the preferences of the general population of a country/region.
Time frame: 1 year
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.