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Promising results have been reported after volar locked plating of unstable dorsally displaced fractures of the distal radius. It offers stable fixation and early mobilization. The investigators' aim is to test if volar locked plating results in better patient-perceived, objective functional and radiological outcomes compared to the less invasive external fixation that has been the standard operation for decades.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Volar locked plate | Other | Open reduction and fixation of a unstable dorsally displaced fracture of the distal radius with a volar locked plate |
|
| External fixation | Other | Fixation of an unstable dorsally displaced fracture of the distal radius with bridging external fixation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| closed reduction and external fixation | Procedure | Fixation of an unstable dorsally displaced fracture of the distal radius with bridging external fixation |
|
| Measure | Description | Time Frame |
|---|---|---|
| PRWE (patient rated wrist evaluation) score | 3,6 and 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Objective function (range of movement and grip strength) | 3,6 and 12 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Gustaf Neander, MD, PhD | Karolinska Institutet | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Division of Orthopaedics, Karolinska Institutet, Department of Clinical Sciences, Danderyd Hospital | Stockholm | S-18288 | Sweden |
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| ID | Term |
|---|---|
| D011885 | Radius Fractures |
| D000092503 | Wrist Fractures |
| ID | Term |
|---|---|
| D005543 | Forearm Injuries |
| D001134 | Arm Injuries |
| D014947 | Wounds and Injuries |
| D050723 | Fractures, Bone |
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| ID | Term |
|---|---|
| D005593 | Fracture Fixation, Internal |
| ID | Term |
|---|---|
| D005592 | Fracture Fixation |
| D019637 | Orthopedic Procedures |
| D013812 | Therapeutics |
| D013514 | Surgical Procedures, Operative |
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|
| Internal fixation with a volar locked plate | Procedure | Open reduction and fixation of a unstable dorsally displaced fracture of the distal radius with a volar locked plate |
|
|
| D014954 |
| Wrist Injuries |