Four or Six Weeks of Immobilization in the Conservative Treatment of Distal Radius Fractures in Elderly Population?

Parc de Salut Mar

Status: Unknown

Conditions: Distal Radius Fracture

Treatments: Procedure: Below elbow cast

Study type: Interventional

Funder types: Other

Identifiers

NCT05370365

4/6

Details and patient eligibility

About

The purpose of this study is to compare if there are differences in wrist function and pain after a distal radius fracture treated conservatively with immobilization for 4 or 6 weeks in elderly patients after six months of follow-up.

Enrollment: 140 estimated patients

Sex: All

Ages: 65+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients older than 65 years with a low energy distal radius fracture
• Intra or extraarticular distal radius fracture (A2, A3, C1, C2)
• Acceptable primary reduction (dorsal inclination <10º, radial shortening <3mm, articular gap <2mm)

Exclusion criteria

• History of ipsilateral fracture
• Bilateral fracture
• Open fracture
• Other concomitant fracture (except ulnar styloid fracture)
• Fracture AO B
• Previous surgeries in this area
• Dementia

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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140 participants in 2 patient groups

4 week cast

Experimental group

Description:

Patients over 65 years old with a distal radius fracture will be treated conservatively with a cast for 4 weeks. Once the immobilization will be removed, the standard rehabilitation protocol of our center used in these fractures will be carried out. The usual clinical and radiological follow-up will be performed at 3, 6 and 12 months.

Treatment:

Procedure: Below elbow cast

6 week cast

Experimental group

Description:

Patients over 65 years old with a distal radius fracture will be treated conservatively with a cast for 6 weeks. Once the immobilization will be removed, the standard rehabilitation protocol of our center used in these fractures will be carried out. The usual clinical and radiological follow-up will be performed at 3, 6 and 12 months.

Treatment:

Procedure: Below elbow cast