Anterior Plate Osteosynthesis of Fractures of the Lower Extremity of the Radius: Does the Systematic Use of Short Epiphysic Screws Limit the Posterior Protrusion of the Screws Without Compromising Stability (SHORT)

Assistance Publique - Hôpitaux de Paris

Status: Unknown

Conditions: Fracture; Radius, Lower or Distal End

Study type: Observational

Funder types: Other

Identifiers

NCT04094935

APHP 190158

2019-A00429-48 (Other Identifier)

Details and patient eligibility

About

Anterior plate osteosynthesis of fractures of the lower extremity of the radius may be accompanied by tendinous complications : tenosynovitis of extensors or even tendon ruptures caused by the end of the epiphyseai screws.

The intraoperative measurements as well as the realization of the scopic pictures make it possible to estimate the length of the screws but the tendinous lesions remain frequent (5 to 15% according to the various series)

Full description

• Preoperative consultation

  • Oral information of the patient of the protocol and delivery of the written information note
  • Seeking patient's non-opposition to participating in the study
  • Inclusion of the patient

• Surgical procedure for distal radius fracture + immediate post-operative radiography

  • Intervention performed according to the usual practices of the service by the surgeon of the day without randomization
  • Radiography: 2 shots: face and wrist profile

• Control X-ray + consultation

  • Achieved at 3 weeks, 6 weeks and 3 months after the intervention
  • X-rays: 2 shots: face and wrist profile

• Control ultrasound o Realized at 3 months after the intervention

End of participation in the study after consultation of 3 months.

Enrollment: 100 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age ≥ 18 years old
• Fracture (s) of extra joint distal radius with or without joint refend in the sagitta plane
• Osteosynthesis by anterior locked plate
• Patient who did not oppose his participation in this research

Exclusion criteria

• Distal radius fractures with joint refend frontal (posterior marginal)