Refraining From Closed Reduction of Dislocated Distal Radius Fractures in the Emergency Department

Refraining From Closed Reduction of Dislocated Distal Radius Fractures in the Emergency Department

The investigators test the efficacy of closed reduction in displaced distal radial fractures in the emergency department.

in a multicenter cluster randomized trial the investigators aim to include 134 patients with displaced distal radial fractures awaiting surgery and randomize between closed reduction followed by plaster casting and plaster casting alone. Primairy outcomes are pain in the days leading up to surgery and postoperative hand- and wrist function. Secondary outcomes are length of stay in the emergency department, length of surgey, return to work and complications.

Inclusion Criteria:

• displaced distal radial fracture eligible for surgery

Exclusion Criteria:

• ISS traumascore >16
• open fracture
• multiple fractures in ipsilateral extremety
• neurovascular damage
• previous injury in the same wrist
• inability to complete questionnaires