Clinical Trial: Conservative Treatment vs. Volar Plating of Distal Radius Fractures

Study Status: Completed
Recruit Status: Completed
Study Type: Interventional

Official Title: Conservative Treatment vs. Volar Plating of Distal Radius Fractures in Patients Aged Over 50 Years Old: A Prospective Randomized Trial

Brief Summary: A prospective, randomized controlled single-center trial with 80 patients aged 50 years and above to compare the functional and radiological results of conservative treatment and volar fixed-angle plating in the management of distal radius fracture

Detailed Summary:

Volar plating has became as a standard approach for treating unstable distal radius fractures. The incidence of surgically treated patients with distal radius fractures has increased many fold from the beginning of this millennium, owing mostly to increased number of volar platings. The most striking increase of plate fixations has occurred in older patient groups, especially in females. With volar fixed-angle plate, very near-anatomic, stable fixation with relatively low complication rate, can be achieved even in osteoporotic bone. There are only few randomized, prospective studies comparing results of volar plating and conservative treatment, comparing patients aged over 65 years. Quite little is known of the results comparing conservative treatment and volar plating in patients aged below 65 years.

Main goal of our study was to compare the functional and radiological results of conservative treatment and volar fixed-angle plating in the management of distal radius fracture in patients aged over 50 years an older.


Sponsor: University of Oulu

Current Primary Outcome: Difference of DASH-score between two study groups [ Time Frame: 2 year observation ]

Disability of the Arm, Shoulder and Hand -Score assessing the function of the upper extremity


Original Primary Outcome: Same as current

Current Secondary Outcome: Difference of radiological parameters between two study groups [ Time Frame: 2 year observation ]

Dorsal angulation, ulnar variance and radial inclination of distal radius. Osteoarthritis of radiocarpal joint


Original Secondary Outcome: Same as current

Information By: University of Oulu

Dates:
Date Received: November 7, 2016
Date Started: November 2008
Date Completion:
Last Updated: December 9, 2016
Last Verified: December 2016