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problems to include patients, patients not showing up at check-up
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| Name | Class |
|---|---|
| Norwegian University of Science and Technology | OTHER |
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The purpose of this study is to find out the best treatment for subcapital and shaft fractures of the 5. metacarpal.
It is a prospective randomized multicenter study. Comparing only fractures dislocated more than 30 degrees.
One group will be operated with intramedullary pins and one group will be treated conservatively with reduction and then Plaster of Paris for 3 weeks.
All patients will be followed up after 3, 6 and 12 months.
See above
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Operation | Experimental | Closed reduction and operated for fixation with 2 antegrade intramedullary Kirschner wires. |
|
| Conservative treatment | Active Comparator | Treated conservatively with reduction and then Plaster of Paris. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Closed reduction and fixation with 2 pins | Procedure | Closed reduction and fixation with 2 antegrade intramedullary Kirschner wires. Cast for 2 weeks. Control after 2 and 5 weeks. Thereafter a control after 3,6 and 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical outcome comparing conservative and operative treatment of subcapital and shaft fractures of the 5. metacarpal | The goal is 200 patients with shaft and subcapital fractures of the 5.metacarpal. In each group the goal is 100 patients there 50 patients will be operated (2 intramedullary pins) and 50 patients undergo conservative treatment. The follow up is 1 year. | 2 -3 years |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ivar Rossvoll, dr. med. | St. Olavs Hospital, orthopedic department | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ålesund sjukehus, Helse Sunmøre | Ålesund | Møre og Romsdal | 6026 | Norway | ||
| Kristiansund sykehus, Helse Nord Møre og Romsdal |
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| ID | Term |
|---|---|
| D050723 | Fractures, Bone |
| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
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| ID | Term |
|---|---|
| D002133 | Calcium Sulfate |
| ID | Term |
|---|---|
| D017610 | Calcium Compounds |
| D007287 | Inorganic Chemicals |
| D008903 | Minerals |
| D013431 | Sulfates |
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| Reduction and Plaster of Paris | Procedure | Closed reduction in local anesthesia and a Plaster of Paris for max. 3 weeks. Control after 1 and 3 weeks, thereafter control after 3,6 and 12 months |
|
| Kristiansund-N |
| Møre og Romsdal |
| 6508 |
| Norway |
| Molde sykehus, Helse Nordmøre og Romsdal | Molde | Møre og Romsdal | 6412 | Norway |
| Sykehuset Namsos, Helse Nord-Trøndelag | Namsos | Nord -Trøndelag | 7801 | Norway |
| Sykehuset i Vestfold-Tønsberg | Tønsberg | 3103 | Norway |
| D013464 |
| Sulfuric Acids |
| D013456 | Sulfur Acids |
| D013457 | Sulfur Compounds |