MIPO Versus Conventional Approach in Volar Locking Plate for Close Fractures Distal End Radius Under WALANT

Police General Hospital, Thailand

Status: Completed

Conditions: Radius; Fracture, Lower or Distal End

Treatments: Procedure: MIPO; Procedure: Conventional

Study type: Interventional

Funder types: Other

Identifiers

NCT06260761

Dh3108103/64

Details and patient eligibility

About

The goal of this clinical trial is to compare the Minimally Invasive Plate Osteosynthesis (MIPO) approach with conventional methods in volar locking plate treatment for distal end radius fractures under the Wide Awake Local Anesthesia No Tourniquet (WALANT) technique. The main question it aims to answer is: Does the MIPO approach provide better pain control than the conventional approach of volar locking plate fixation in distal radius fractures under WALANT? Participants will be requested to record their pain on the Visual Analog Scale (VAS), assess their functional scores, and undergo postoperative radiographic evaluations. Researchers will compare the MIPO group and the conventional group to determine the postoperative pain VAS scores, shedding light on the comparative effectiveness of the two approaches.

Full description

Gap of knowledge

• No comparison of conventional Versus MIPO technique under WALANT
• No result in acute post-operative pain

Enrollment: 68 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• isolated closed fractures of the distal end radius requiring surgery
• aged 18 years and older

Exclusion criteria

• Patients with bone fractures lasting more than 21 days
• open fractures
• articular multi-fragmentary comminuted fractures of the distal radius
• not suitable to undergo volar approach surgery
• individuals with combined carpal fractures or dislocation
• ulna fractures
• associated injuries
• a history of previous wrist surgery
• diabetes mellitus
• chronic wrist inflammation
• wrist bone deformities
• the use of anticoagulation drugs
• uncooperative behavior
• those refusing to participate in the research

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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68 participants in 2 patient groups

MIPO

Experimental group

Description:

isolated close fracture of distal end radius

Treatment:

Procedure: MIPO

Conventional

Active Comparator group

Description:

isolated close fracture of distal end radius

Treatment:

Procedure: Conventional