Comparison of Functional Outcomes of Closed Reduction With Cast Versus Closed Reduction With K-Wire Fixation in Colles' Fracture

Khawaja Muhammad Safdar Medical College

Status: Not yet enrolling

Conditions: Colles' Fracture

Treatments: Procedure: Closed reduction and fracture manipulation and plaster of Paris application in group A; Procedure: closed reduction and Percutaneous K-wire fixation and plaster of application is applied in group B

Study type: Interventional

Funder types: Other

Identifiers

NCT07281469

KMSafdarMC

Details and patient eligibility

About

Colles' fracture is a common distal radius injury, often managed with closed reduction and Plaster of Paris (POP) casting. However, loss of alignment may occur with casting alone. Percutaneous K-wire fixation may improve fracture stability. This study aims to compare the functional outcomes of closed reduction with POP cast application versus closed reduction with K-wire fixation followed by POP cast application in the management of Colles' fractures.

Full description

This randomized controlled trial evaluates two commonly used treatment methods for Colles' fractures. Sixty participants were randomized into two groups: closed reduction with POP cast application, and closed reduction with percutaneous K-wire fixation followed by POP cast application. Follow-up assessments were scheduled to evaluate functional outcomes using the Gartland and Werley scoring system over a three-month period.

Enrollment: 60 estimated patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Age 18 to 60 years

Both genders

Closed Colles' fracture

Injury less than 1 week old

Provided informed consent

Exclusion criteria

Open fracture

Fracture with neurovascular injury

Medically unfit for surgery

Contraindication noted by orthopedic surgeon or anesthetist

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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60 participants in 2 patient groups

Closed Reduction and Plaster of Paris Cast Application

Active Comparator group

Description:

Closed reduction followed by Plaster of Paris cast application

Treatment:

Procedure: Closed reduction and fracture manipulation and plaster of Paris application in group A

Closed Reduction with Percutaneous K-Wire Fixation and Plaster of Paris Cast Application

Active Comparator group

Description:

Closed Reduction With K-Wire Fixation and POP Cast Closed reduction followed by percutaneous K-wire fixation and Plaster of Paris cast application

Treatment:

Procedure: closed reduction and Percutaneous K-wire fixation and plaster of application is applied in group B