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This randomized controlled trial compares clinical outcomes, patient comfort and satisfaction of freeing the wrist in casts for supracondylar humerus fractures in children.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Traditional | Active Comparator | Participants in this group receive the existing treatment, which is a cast that terminates at the palmar bar. |
|
| Modified | Experimental | Participants in this group receive the experimental treatment, a cast that terminates at the wrist. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Modified long arm cast | Procedure | A shorter cast that frees the wrist |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Patient Satisfaction | Measured using QDASH | 3-4 Weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Complications in healing | Observe for loss of reduction in fracture | 3-4 Weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Kenneth PL Wong, FRCS | Contact | +6592355960 | kenneth.wong.p.l@singhealth.com.sg |
| Name | Affiliation | Role |
|---|---|---|
| Kenneth PL Wong, FRCS | KK Women's and Children's Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| KK Women's and Children's Hospital | Recruiting | Singapore | 229899 | Singapore |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24183392 | Background | Khoshbin A, Leroux T, Wasserstein D, Wolfstadt J, Law PW, Mahomed N, Wright JG. The epidemiology of paediatric supracondylar fracture fixation: a population-based study. Injury. 2014 Apr;45(4):701-8. doi: 10.1016/j.injury.2013.10.004. Epub 2013 Oct 17. | |
| 34313666 | Background | Micheloni GM, Novi M, Leigheb M, Giorgini A, Porcellini G, Tarallo L. Supracondylar fractures in children: management and treatment. Acta Biomed. 2021 Jul 26;92(S3):e2021015. doi: 10.23750/abm.v92iS3.11725. |
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| Traditional long arm cast |
| Procedure |
Current standard of care where the cast extends up to the palmar bar |
|
| 19725490 | Background | Boyd AS, Benjamin HJ, Asplund C. Splints and casts: indications and methods. Am Fam Physician. 2009 Sep 1;80(5):491-9. |
| 32550057 | Background | Shenoy PM, Islam A, Puri R. Current Management of Paediatric Supracondylar Fractures of the Humerus. Cureus. 2020 May 15;12(5):e8137. doi: 10.7759/cureus.8137. |
| 30662761 | Background | Vaquero-Picado A, Gonzalez-Moran G, Moraleda L. Management of supracondylar fractures of the humerus in children. EFORT Open Rev. 2018 Oct 1;3(10):526-540. doi: 10.1302/2058-5241.3.170049. eCollection 2018 Oct. |