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The purpose of this study is to compare if there are differences in wrist function and pain after a distal radius fracture treated conservatively with immobilization for 4 or 6 weeks in elderly patients after six months of follow-up.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 4 week cast | Experimental | Patients over 65 years old with a distal radius fracture will be treated conservatively with a cast for 4 weeks. Once the immobilization will be removed, the standard rehabilitation protocol of our center used in these fractures will be carried out. The usual clinical and radiological follow-up will be performed at 3, 6 and 12 months. |
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| 6 week cast | Experimental | Patients over 65 years old with a distal radius fracture will be treated conservatively with a cast for 6 weeks. Once the immobilization will be removed, the standard rehabilitation protocol of our center used in these fractures will be carried out. The usual clinical and radiological follow-up will be performed at 3, 6 and 12 months. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Below elbow cast | Procedure | Patients will be stay with a below elbow cast for 4 or 6 weeks |
|
| Measure | Description | Time Frame |
|---|---|---|
| Patient Rated Wrist Evaluation (PRWE) | The PRWE is a 15-item questionnaire designed to measure pain and wrist disability in activities of daily living. | 3 months |
| Patient Rated Wrist Evaluation (PRWE) | The PRWE is a 15-item questionnaire designed to measure pain and wrist disability in activities of daily living. | 6 months |
| Patient Rated Wrist Evaluation (PRWE) | The PRWE is a 15-item questionnaire designed to measure pain and wrist disability in activities of daily living. | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Quick Disability of Arm and Shoulder (QuickDASH) | It is a questionnaire that looks at the ability of a patient to perform certain upper extremity activities. This questionnaire is a self-report questionnaire that patients can rate difficulty and interference with daily life on a 5 point Likert scale. | 3 months |
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Inclusion Criteria:
Exclusion criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital del Mar | Barcelona | 08021 | Spain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40472139 | Derived | Sala-Pujals A, Portes Chiva A, Chillon Soria J, Valverde Vilamala D, Dominguez Font E, Pardo Pol A. Immobilization Time for Conservative Treatment of Distal Radial Fractures in Elderly Patients: A Randomized Controlled Trial. J Bone Joint Surg Am. 2025 Jun 5;107(14):1628-1635. doi: 10.2106/JBJS.24.01480. |
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| ID | Term |
|---|---|
| D000092503 | Wrist Fractures |
| ID | Term |
|---|---|
| D014954 | Wrist Injuries |
| D001134 | Arm Injuries |
| D014947 | Wounds and Injuries |
| D050723 | Fractures, Bone |
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Prospective single-blinded randomised clinical trial
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Data from the demographic data collection and the outcome parameters will be cleaned blindly from the treatment data
| Quick Disability of Arm and Shoulder (QuickDASH) |
It is a questionnaire that looks at the ability of a patient to perform certain upper extremity activities. This questionnaire is a self-report questionnaire that patients can rate difficulty and interference with daily life on a 5 point Likert scale. |
| 6 months |
| Quick Disability of Arm and Shoulder (QuickDASH) | It is a questionnaire that looks at the ability of a patient to perform certain upper extremity activities. This questionnaire is a self-report questionnaire that patients can rate difficulty and interference with daily life on a 5 point Likert scale. | 1 year |
| Visual Analogue Scale (VAS) | is a measuring instrument that tries to measure the amount of pain a patient feels, which is supposed to be a value that oscillates in a continuous between no pain and an extreme amount of pain. | 3 months |
| Visual Analogue Scale (VAS) | is a measuring instrument that tries to measure the amount of pain a patient feels, which is supposed to be a value that oscillates in a continuous between no pain and an extreme amount of pain. | 6 months |
| Visual Analogue Scale (VAS) | is a measuring instrument that tries to measure the amount of pain a patient feels, which is supposed to be a value that oscillates in a continuous between no pain and an extreme amount of pain. | 1 year |
| Range Of Movement (ROM) | Flexion, Extension, radial and ulnar deviation | 3 months |
| Range Of Movement (ROM) | Flexion, Extension, radial and ulnar deviation | 6 months |
| Range Of Movement (ROM) | Flexion, Extension, radial and ulnar deviation | 1 year |
| Complications | Stiffness, delayed and non-union and complex regional pain syndrome (CRPS). | 1 year |