Taping to Control Edema in Patients With Forearm Plaster for Wrist Fracture.

Azienda Unita Sanitaria Locale di Piacenza

Status: Completed

Conditions: Fracture; Wrist; Edema Arm

Treatments: Device: Tape application

Study type: Interventional

Funder types: Other

Identifiers

NCT04683887

TapeK_Gesso_ABM_PSO

Details and patient eligibility

About

Wrist fractures are a very common event affecting patients of all ages and are estimated to account for approximately 10% -25% of all fractures. 70-90% of fractures are treated with closed reduction and forearm cast. In 2019, 17.4% of wrist fractured patients treated with a plaster cast at the Orthopedic Emergency Department (OED) of the Local Health Unit ("Azienda Unità Sanitaria Locale", AUSL) of Piacenza had a second access to the OED for edema, pain or "intolerance to the plaster cast ".

In literature, there are several studies that demonstrate the effectiveness of adhesive elastic tape for edema control, mostly lymphedema secondary to breast cancer or post-operative edema after knee arthroplasty, although a definitive evidence is still needed.

With this trial, the investigators aim to evaluate the tape effectiveness in counteracting hand edema formation in wrist fractured adult patients treated with forearm cast.

Enrollment: 23 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients with growth plates closed on radiographic examination
• Unilateral distal radius fracture associated or not with ulnar styloid fracture
• Wrist fracture requiring bloodless reduction and immobilization with a forearm cast

Exclusion criteria

• Patients with multiple fractures
• Polytrauma patients
• Patients with previous plegia / paralysis of the fractured limb
• Patients with previous lymphedema of the fractured limb
• Patients with access to the OED during the night when the organization does not guarantee the presence of 2 nurses
• Wounds or abrasions in the area of application of the tape
• Acute thrombosis (upper limb veins)
• Scars not perfectly healed in the area of application of the tape
• Dermatitis, psoriatic manifestations or erythema in the area of application of the tape
• Known allergy to acrylic (patch glue)
• Solid neoplasms

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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23 participants in 2 patient groups

Tape application

Experimental group

Treatment:

Device: Tape application

No tape application

No Intervention group