Radiological vs Clinical Outcome in DRF

Sundsvall Hospital

Status: Completed

Conditions: Distal Radius Fracture

Treatments: Procedure: Surgery of distal radius fracture; Procedure: Reduction and cast treatment of distal radius fracture

Study type: Interventional

Funder types: Other

Identifiers

NCT05558306

VS_DRF_Outcome

Details and patient eligibility

About

Background: Several studies have investigated the degree of final displacement and its association with clinical outcome. There is still no consensus on the importance of radiological outcome and published studies do not use the same criteria for an acceptable alignment. Previous reports have used a linear or a dichotomized exposure in the statistical analysis, but no study has investigated a nonlinear association.

Methods: We included 438 patients treated for a distal radius fracture (DRF) with either reduction and cast immobilization or surgery. Radiographic outcomes were determined by radiographs 3 months after the injury. Clinical outcome was determined by QuickDASH (qDASH), ROM and grip strength at 1-year after the injury. Nonlinear correlations were analysed with cubic splines.

Enrollment: 451 patients

Sex: All

Ages: 15 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients with distal radius fracture between 15 and 74 years, with closed physes of the distal radius and ulna.

Exclusion criteria

• Dementia
• Previous fracture to the ipsilateral wrist
• Open fracture
• Other concomitant or existing damage or injury to the wrist
• Galeazzi fracture
• Rheumatoid arthritis
• Alcohol or drug abuse
• Neurologic impairment

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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451 participants in 1 patient group

Treatment protocol

Other group

Description:

All patients were treated according to the treatment protocol with cast for minimally displaced fractures and surgery for displaced fractures.

Treatment:

Procedure: Surgery of distal radius fracture

Procedure: Reduction and cast treatment of distal radius fracture