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The purpose of this study is to compare the radiographic and clinical outcomes after short versus conventional plaster cast fixation time in reduced distal radius fractures.
Displaced distal radius fractures treated with closed reduction and plaster cast fixation are radiographed 10 days (range 8-13 days) after reduction and randomized to one of two study arms; immediate removal of plaster cast or continued fixation in plaster cast for another 3 weeks. Radiographic and Clinical outcome measurements at 1, 4 and 12 months
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 10-day cast | Active Comparator | Removal of plaster cast 10 Days after reduction |
|
| 1-month cast | No Intervention | Removal of plaster cast 1 month after reduction |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 10-day cast | Device | Removal of plaster cast fixation 10 days after reduction |
|
| Measure | Description | Time Frame |
|---|---|---|
| Radiographic displacement | Change in dorsal angulation, radial angulation and axial compression between follow-ups. | At admission, 10 days, 1 month and 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Grip strength | Grip strength compared to uninjured side at 1, 4 and 12 months | Uninjured side. Injured side at 1, 4 , 12 months |
| Range of motion | Range of motion in dorsal extension, volar flexion, supination and pronation compared to uninjured side at 1, 4 and 12 months. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Albert Christersson, MD | Department of Orthopaedics, University Hospital of Uppsala | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27871284 | Derived | Christersson A, Larsson S, Ostlund B, Sanden B. Radiographic results after plaster cast fixation for 10 days versus 1 month in reduced distal radius fractures: a prospective randomised study. J Orthop Surg Res. 2016 Nov 21;11(1):145. doi: 10.1186/s13018-016-0478-7. |
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| ID | Term |
|---|---|
| D003100 | Colles' Fracture |
| ID | Term |
|---|---|
| D000072039 | Fracture Dislocation |
| D004204 | Joint Dislocations |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
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| Uninjured side. Injured side at 1, 4 and 12 months |
| Assessment of pain intensity | Average pain over the last 24 h assessed with a visual analogue scale (VAS) at 10 days, 1, 4 and 12 months | 10 days, 1, 4 and 12 months |
| Assessment of functional outcome with three different functional assessment scores; 1,The modified de Bruijn wrist score 2, The modified Mayo wrist scoring chart 3, The Gartland and Werley Demerit wrist point system modified by Sarmiento. | The three functional assessment scores are composite outcome measures consisting of multiple measures (results to be reported as single values for each Group), | 12 months |
| D014947 |
| Wounds and Injuries |
| D011885 | Radius Fractures |
| D050723 | Fractures, Bone |