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Colles' fracture is a common distal radius injury, often managed with closed reduction and Plaster of Paris (POP) casting. However, loss of alignment may occur with casting alone. Percutaneous K-wire fixation may improve fracture stability. This study aims to compare the functional outcomes of closed reduction with POP cast application versus closed reduction with K-wire fixation followed by POP cast application in the management of Colles' fractures.
This randomized controlled trial evaluates two commonly used treatment methods for Colles' fractures. Sixty participants were randomized into two groups: closed reduction with POP cast application, and closed reduction with percutaneous K-wire fixation followed by POP cast application. Follow-up assessments were scheduled to evaluate functional outcomes using the Gartland and Werley scoring system over a three-month period.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Closed Reduction and Plaster of Paris Cast Application | Active Comparator | Closed reduction followed by Plaster of Paris cast application |
|
| Closed Reduction with Percutaneous K-Wire Fixation and Plaster of Paris Cast Application | Active Comparator | Closed Reduction With K-Wire Fixation and POP Cast Closed reduction followed by percutaneous K-wire fixation and Plaster of Paris cast application |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Closed reduction and fracture manipulation and plaster of Paris application in group A | Procedure | Closed reduction and manipulation of fracture and application of plaster of Paris in group A |
| Measure | Description | Time Frame |
|---|---|---|
| Garland and werely score | The Gartland and Werley scoring system (range 0-52) evaluates functional outcomes after distal radius fracture. Lower scores indicate better outcomes | 3 months |
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Inclusion Criteria:
Age 18 to 60 years
Both genders
Closed Colles' fracture
Injury less than 1 week old
Provided informed consent
Exclusion Criteria:
Open fracture
Fracture with neurovascular injury
Medically unfit for surgery
Contraindication noted by orthopedic surgeon or anesthetist
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| DR SUQLAIN ALI DR SUQLAIN ALI, MBBS FCPS | Contact | 00923317949721 | maliksaqlainali@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Khawaja Muhammad Safdar Medical College Sialkot | Sialkot | Punjab Province | 51310 | Pakistan |
Individual participant data (IPD) that underlie the results of the primary and secondary outcomes will be shared after de-identification. Shared data will include demographic variables, baseline characteristics, and outcome measures collected during the trial.
IPD and supporting documents will be made available beginning 12 months after publication of the primary results. Data will remain available for a minimum of 5 years thereafter or until the end of the study's data-retention period, whichever occurs later
Access will be granted to qualified researchers affiliated with academic, nonprofit, or governmental institutions for the purpose of scientific inquiry and secondary analyses. Researchers must submit a data-access request including a brief proposal and statistical analysis plan. Upon approval, data will be shared through a secure, controlled-access data repository. Users will be required to sign a data use agreement prohibiting re-identification or unauthorized sharing of the data
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There are two groups in the study each group contains 30patients ,group A apply plaster of Paris for colles fracture and group B patients treated with k wires and plaster of Paris
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| closed reduction and Percutaneous K-wire fixation and plaster of application is applied in group B | Procedure | Group A Participant treated with the closed reduction and manipulation and plaster of paris application is applied for colles fracture. |
|
| ID | Term |
|---|---|
| D003100 | Colles' Fracture |
| ID | Term |
|---|---|
| D000072039 | Fracture Dislocation |
| D004204 | Joint Dislocations |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D014947 | Wounds and Injuries |
| D011885 | Radius Fractures |
| D050723 | Fractures, Bone |
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