Refraining From Closed Reduction of Dislocated Distal Radius Fractures in the Emergency Department (RECORDED)

Maasstad Hospital

Status: Enrolling

Conditions: Wrist Injuries; Distal Radius Fractures; Closed Reduction of Fracture and Application of Plaster Cast; Radius Fracture Distal; Wrist Fractures

Treatments: Procedure: closed reduction; Procedure: no closed reduction

Study type: Interventional

Funder types: Other

Identifiers

NCT06046404

L2022093

Details and patient eligibility

About

The investigators test the efficacy of closed reduction in displaced distal radial fractures in the emergency department.

Full description

in a multicenter cluster randomized trial the investigators aim to include 134 patients with displaced distal radial fractures awaiting surgery and randomize between closed reduction followed by plaster casting and plaster casting alone. Primairy outcomes are pain in the days leading up to surgery and postoperative hand- and wrist function. Secondary outcomes are length of stay in the emergency department, length of surgey, return to work and complications.

Enrollment: 134 estimated patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• displaced distal radial fracture eligible for surgery

Exclusion criteria

• ISS traumascore >16
• open fracture
• multiple fractures in ipsilateral extremety
• neurovascular damage
• previous injury in the same wrist
• inability to complete questionnaires

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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134 participants in 2 patient groups

closed reduction followed by plaster casting

Active Comparator group

Treatment:

Procedure: closed reduction

only plaster casting

Experimental group

Description:

no closed reduction will be performed

Treatment:

Procedure: no closed reduction