A Comparison of Minimal Approach With Conventional Approach for Distal Radial Fractures

The Second Hospital of Qinhuangdao

Status: Completed

Conditions: Closed Frykman Type II Fracture of Right Radial Head

Treatments: Procedure: Incision

Study type: Interventional

Funder types: Other

Identifiers

NCT02410070

1011126

Details and patient eligibility

About

The objective of this study is to compare a minimal invasive approach with the conventional flexor carpi radialis approach for volar plating of distal radial fractures.

Full description

The objective of this study is to compare a minimal invasive approach with the conventional flexor carpi radialis approach for volar plating of distal radial fractures.

From January 2011 to September 2012, 157 patients with distal radial fractures were allocated into group A (n=83) and B (n=74). Patients in group A were treated through a 1.5 to 2-cm long incision, and patients in group B were treated through the conventional flexor carpi radialis approach. All fractures were fixed with volar plates. Patients were assessed range of motion of the wrist, grip strength of the hand, and pronation strength of the wrist. Results were analyzed with the Statistical Package for Social Sciences 13.0. A P < 0.05 was statistically significant.

Enrollment: 157 patients

Sex: All

Ages: 18 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Fernandez type II-IV radial fractures.

Exclusion criteria

• Fernandez type I radial fracture.
• Fernandez type V radial fracture.
• Open radial fractures.
• Surgery using K-wires or screws alone.
• The use of external fixators.
• multiple fractures, pathological fracture.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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157 participants in 2 patient groups

Though Volar Minimal Incision

Experimental group

Description:

Patients in group A were treated through a small Incision.

Treatment:

Procedure: Incision

Though Convectional Incision

Active Comparator group

Description:

Patients in group B were treated through the conventional Incision

Treatment:

Procedure: Incision