Comparison of Functional Recovery After Distal Intra-articular Radius Fracture With a Dorsal Tilt Treated With an Anterior Plate Versus a Posterior Plate (PAPPO)

University Hospital Center (CHU) Dijon Bourgogne

Status: Terminated

Conditions: Distal Intra-articular Radius Fracture With a Dorsal Tilt

Treatments: Procedure: posterior osteosynthesis; Procedure: Anterior osteosynthesis; Other: DASH score; Procedure: X-ray

Study type: Interventional

Funder types: Other

Identifiers

NCT03259906

ALVERNHE LABATTUT 2016

Details and patient eligibility

About

For les intra-articular fractures, plate osteosynthesis is the indicated technique. Despite the absence of consensus, in recent years, the use of open reduction associated with internal plate fixation has considerably developed. Indeed, this therapeutic option allows a more anatomical reduction and stable fixation.

First-generation posterior plates presented complications related to the size of the plate, notably tendon lesions. Over the last ten years, a new generation of thinner anterior plates has reduced these complications.

In the literature, few studies have compared these two techniques in terms of functional and radiological outcomes. The hypothesis of this research is that osteosynthesis using a posterior plate is more effective than that with an anterior plate in terms of functional recovery in patients older than 45 years.

Enrollment: 12 patients

Sex: All

Ages: 60+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients who have provided written informed consent
• Patients older than 45 years
• Patients presenting a closed intra-articular fracture of the distal radius with a dorsal tilt (stages B2, C1, C2 and C3)

Exclusion criteria

• Adults under guardianship
• Patients without national health insurance cover
• Pregnant or breast-feeding women
• Patients presenting other injuries in the same upper limb
• Patients presenting injuries of the wrist or hand (scapholunate injury, fracture of the carpal bone or fingers)
• Pre-trauma paralysis of the limb
• Open fracture
• Fracture with palmer tilt or extra-articular

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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12 participants in 2 patient groups

Osteosynthesis using a posterior plate

Active Comparator group

Treatment:

Procedure: posterior osteosynthesis

Other: DASH score

Procedure: X-ray

Osteosynthesis using an anterior plate

Active Comparator group

Treatment:

Other: DASH score

Procedure: X-ray

Procedure: Anterior osteosynthesis