Treatment of Distal Radius Fractures in Elderly Patients

Hand and Upper Limb Clinic, Canada

Status: Withdrawn

Conditions: Distal Radius Fractures

Treatments: Other: Conservative Management; Procedure: Distal Radius Fracture Reduction

Study type: Interventional

Funder types: NETWORK; Other

Identifiers

NCT00788190

LHRI 001

Details and patient eligibility

About

The purpose of this study is to create and test a treatment algorithm to guide the treatment of distal radius fractures in patients 65 and older and to obtain level-one evidence to determine the best method of treating distal radius fractures in this growing population demographic.

Full description

• Distal radius fractures with borderline alignment will be randomized to surgical intervention or conservative treatment.
• Patients will fill out subjective questionnaires at 0, 6weeks, 3months, 6 months, and 1 year.
• Patients will perform objective strength tests, dexterity tests and have their range of motion tested at 12 weeks, 6 months and 12 months.

Enrollment: 65 estimated patients

Sex: All

Ages: 65+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Distal Radius Fracture
• Between 10 and 20 degrees of dorsal angulation
• Between 3 and 5mm of Ulnar positive variance
• Between 1 and 2mm intra Articular Step deformity
• Age 65 and older

Exclusion criteria

• Pre-Morbid medical conditions which preclude surgical intervention
• Patients who do not live independently.
• Patients with an open fracture
• Associated soft tissue or skeletal injury to the same limb.
• Pre-existing wrist arthrosis or disability

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: None (Open label)

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65 participants in 2 patient groups

Surgery

Other group

Description:

Surgical intervention to reduce Distal Radius Fracture

Treatment:

Procedure: Distal Radius Fracture Reduction

Conservative Treatment

Other group

Description:

Conservative treatment of Distal Radius Fractures

Treatment:

Other: Conservative Management