Simultaneous vs. Postponed Carpal Tunnel Release (CTR) During Distal Radius Fracture (DRF) Fixation.

Cons and Pros of Concomitant Carpal Tunnel Release During Distal Radius Fracture Fixation

This randomized study evaluates the impact of performing a prophylactic carpal tunnel release (CTR) at the same time as surgical fixation for a distal radius fracture (DRF). The study compares this simultaneous approach against a postponed approach (observing and only performing CTR if symptoms develop) to determine which strategy better reduces the frequency of re-operation and improves functional outcomes.

Inclusion Criteria:

• Patients presenting with trauma to the lower end of the radius requiring surgical intervention.
• Fractures classified as AO/OTA classes involving significant displacement, articular surface depression, or comminution (excluding simple A-C1 classes).

Exclusion Criteria:

• Simple fractures (AO/OTA class A-C1) suitable for non-operative management.
• Pre-existing neurocognitive or psychological disorders.
• Refusal to participate or sign written consent.