Volar Internal Plate Fixation vs. Plaster in Extra- Articular Distal Radial Fractures (VIPER)
Displaced Extra-articular Distal Radius Fractures
About this trial
This is an interventional treatment trial for Displaced Extra-articular Distal Radius Fractures focused on measuring distal radius fractures, Closed reduction, Open reduction internal fixation, Volar plate, Redislocation, Unstable fracture, Extra-articular fracture, Colles fracture, Barton fracture
Eligibility Criteria
Inclusion Criteria:
- Patients ≥ 18 years and ≤ 75 years
- Extra-articular (AO type A) displaced distal radius fracture, as classified on lateral, posterior anterior and lateral carporadial radiographs by a radiologist or trauma surgeon.
- Acceptable closed reduction obtained according to current Dutch guidelines within 12 hours after presentation at the Emergency Department (ED).
Exclusion Criteria:
- Open distal radius fractures
- Multiple trauma patients (Injury Severity Score (ISS) ≥16)
- Other fractures of the affected extremity
- Patients with impaired wrist function prior to injury due to arthritis/neurological disorders of the upper limb
- Patient suffering from disorders of bone metabolism, connective tissue or (joint) hyperflexibility.
- Insufficient comprehension of the Dutch language to understand the treatment information and informed consent forms as judged by the attending physician.
Sites / Locations
- Academic Medical Center
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
Closed reduction and plaster
open reduction and internal fixation
Closed reduction will be performed and after adequate reduction has been confirmed, the wrist will be immobilised according to Dutch guidelines: a splint for one week followed by a circular cast for another four weeks.
The intervention group will be treated with open reduction and internal fixation with a volar locking plate.