Cast Immobilization Versus Percutaneous Pinning for Fracture of Radius in an Elderly Patient

Q

Queen Savang Vadhana Memorial Hospital, Thailand

Status

Completed

Conditions

Closed Fracture of Lower End of Radius

Treatments

Procedure: Cast immobilization
Procedure: Percutaneous pinning

Study type

Interventional

Funder types

Other

Identifiers

NCT06209242
027/2564

Details and patient eligibility

About

Distal radius fractures, particularly in elderly individuals, are a common problem associated with increasing age and hormonal changes. The choice of treatment, such as cast immobilization or percutaneous pinning, plays a crucial role in achieving optimal functional outcomes and facilitating a return to normal activities. This study aimed to compare the radiological and clinical outcomes of cast immobilization and percutaneous pinning in elderly patients with distal radius fractures.

Full description

Background: Distal radius fractures, particularly in elderly individuals, are a common problem associated with increasing age and hormonal changes. The choice of treatment, such as cast immobilization or percutaneous pinning, plays a crucial role in achieving optimal functional outcomes and facilitating a return to normal activities. This study aimed to compare the radiological and clinical outcomes of cast immobilization and percutaneous pinning in elderly patients with distal radius fractures. Methods: This prospective randomized controlled trial enrolled participants aged over 60 years with AO23-A2 or AO23-A3 distal radius fractures and no contraindications for local anesthesia. The participants were randomly assigned to either the cast immobilization or percutaneous pinning group. Follow-up was conducted for 3 months, during which radiological outcomes and clinical outcomes were assessed. Radiological parameters included radial angulation, while clinical outcomes were evaluated using the Disability of Arm, Shoulder, and Hand (DASH) score, range of motion, and grip strength. Additionally, data on complications and pain levels measured using the Visual Analog Scale (VAS) were collected for the percutaneous pinning group under local anesthesia.

Enrollment

26 patients

Sex

All

Ages

60+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • aged >60 years
  • primary distal end radius fracture type AO23-A2 or AO23-A3

Exclusion criteria

  • multiple trauma
  • onset > 2 weeks
  • systemic diseases such as RA
  • steroid user
  • contraindication for LA

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Sequential Assignment

Masking

Single Blind

26 participants in 2 patient groups

Cast immobilization
Experimental group
Description:
Using cast immobilization with sugar tong and short arm splinting
Treatment:
Procedure: Cast immobilization
Percutaneous pinning
Experimental group
Description:
Using k-wire percutaneous pinning
Treatment:
Procedure: Percutaneous pinning

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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