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| ID | Type | Description | Link |
|---|---|---|---|
| ISS2009050 | Other Grant/Funding Number | De Puy |
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| Name | Class |
|---|---|
| DePuy International | INDUSTRY |
| Global Diagnostics UK | OTHER |
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The surgical treatment of wrist fractures (distal radius bone) has been changed by the introduction of a new plate design, the locking plate. This results in improved fixation and stabilisation of the fracture fragments allowing early movement.
This type of plate has been increasingly used throughout the world but questions have been raised regarding the potential complications of the surgery, particularly nerve and tendon injury. The Norfolk and Norwich Hospital has treated over 250 distal radial fractures with this type of plate. The investigators plan to recall these patients to asses their long term function, general satisfaction and radiological results.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| DVR-A | Patients with a distal radial fracture treated with a DVR-A locking plate |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ORIF with DVR-A locking plate | Device | Size, length of plate and number os screws decided by operating surgeon |
|
| Measure | Description | Time Frame |
|---|---|---|
| DASH score | Disability of arm shoulder and hand score. This is a patient administered validated score | One year or more post surgery |
| Pain | A patient administered visual analogue scale numbered 1-10. A mark can be placed anywhere along the line with a score of 0 indicating no pain and 10 the worst pain imaginable | One year or more post surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Complications | Examination and questioning by a hand therapist to pick up complications. Prompting for tendon irritation or rupture, neurovascular injury, plate or screw failure, hardware removal and infection | One year or more post surgery |
| Radiographic appearance |
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Inclusion Criteria:
Exclusion Criteria:
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Participants will be taken from a population consisting of all patients who have undergone distal radial fracture treatement with a DVR-A locking plate at the norfolk and Norwich University hospitals NHS Foundation Trust
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| Name | Affiliation | Role |
|---|---|---|
| Adrian J Chojnowski | Norfolk and Norwich University Hospitals NHS Foundation Trust | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Norfolk and Norwich University Hospitals NHS Foundation Trust | Norwich | Norfolk | NR4 7UY | United Kingdom |
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Review of xrays to measure radial inclination, volar tilt,, shortening, articular stepoff and degenerative change |
| One year or more post surgery |
| EQ 5D | Euroqual 5D is a patient administered general health questionaire that is validated. | More than one year post surgery |
| Grip Strength | Measured by a dynomometer and referenced to the non operated side | One year or more post surgery |
| Range of motion | Measured with a goniometer. Measurements taken of movements in the axial,coronal and sagital planes | One year or more post surgery |
| Pain | A patient administered visual analogue scale numbered 1-10. A mark can be placed anywhere along the line with a score of 0 indicating no pain and 10 the worst pain imaginable | One year or more post surgery |