Usefulness of Intraoperative Ultrasound in a Volar Plate Distal Radius Fixation

Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau

Status: Completed

Conditions: Distal Radius Fracture; Ultrasound

Treatments: Diagnostic Test: Intraoperative ultrasound

Study type: Observational

Funder types: Other

Identifiers

NCT04554472

IIBSP-ECO-2019-86

Details and patient eligibility

About

Distal radius fracture is a common injury with a high percentage of surgical treatment. In the last decades, volar plate fixation has been the treatment of choice. However, complication rates range between 6% and 50% according to the different study groups. One of the main complications is due to errors in screw measurement given the particular anatomy of the distal radius.

Numerous views in addition to the standard ones have been described in order to increase the specificity and sensitivity in the detection of poorly implanted screws. In the absence of a radiological projection superior to another, we believe that the use of intraoperative ultrasound can provide a non-invasive and quick revision element that avoids scope time for both: the patient and the surgical team.

Full description

Patients will be recruited in a sequential mode after signing the usual informed consent (IC) as well as the consent to accept participation in the study.

The intervention will be carried out as usual and, once the radiological checks have been carried out, an ultrasound of the wrist extensor compartments will be performed. Compartments will be studied individually in order to detect invasion of the dorsal cortex by the screws.

All surgeries will be performed only by members of the upper limb trauma team or hand surgery unit.

Postoperative follow-up will be the standard one prior to the present study.

Enrollment: 30 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients over 18 years of age
• Both sexes
• Surgical criteria distal radius fracture.
• Patients with sufficient understanding capacity to read and understand an informed consent.

Exclusion criteria

• Patients with a history of any type of surgical intervention on the same limb distal to the elbow.

Trial design

30 participants in 1 patient group

Study group

Description:

Patients with a distal radius fracture requiring surgery who meet the exclusion and inclusion criteria

Treatment:

Diagnostic Test: Intraoperative ultrasound