Comparing Forearm and Upper Arm Combi Cast for Distal Forearm Fractures in Children

University of Zurich (UZH)

Status: Completed

Conditions: Forearm Fracture; Salter-Harris Type 2; Radius Fractures; Salter-Harris Type I

Treatments: Device: combi cast

Study type: Interventional

Funder types: Other

Identifiers

NCT03297047

Forearm combi cast 2016

Details and patient eligibility

About

The standard treatment for children with closed reduction of displaced distal forearm fractures is an immobilization with an upper arm combicast. The hypothesis is that an forearm immobilization with combicast in children 4-16 years might be sufficient.

Full description

Children with distal radial or forearm fractures needing closed reduction are eligible for this study. By drawing lots either an immobilization with an upper arm or forearm combicast will be performed. Regular controls after 5, 10, 28 days, 4 weeks and 7 weeks will be performed to check the rate of displacement, consolidation time, wearing comfort and movement of the elbow joint after taking off the cast.

Enrollment: 120 patients

Sex: All

Ages: 4 to 16 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• open growth Zone
• displaced metaphyseal radial or forearm fractures including Salter harris fracture 1 and 2 which require closed reduction
• written informed consent

Exclusion criteria

• intraarticular fractures
• open fractures
• unstable fractures

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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120 participants in 2 patient groups

upper arm combi cast

Active Comparator group

Description:

standardized treatment

Treatment:

Device: combi cast

forearm combi cast

Experimental group

Description:

Treatment with a forearm combi cast should be a sufficient immobilization

Treatment:

Device: combi cast