Four or Six Weeks of Immobilization in the Conservative Treatment of Distal Radius Fractures in Elderly Population?

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Primary Purpose

Status

Recruiting

Phase

Not Applicable

Locations

Spain

Study Type

Interventional

Intervention

Below elbow cast

About this trial

This is an interventional treatment trial for Distal Radius Fracture

Eligibility Criteria

65 Years - undefined (Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

Patients older than 65 years with a low energy distal radius fracture
Intra or extraarticular distal radius fracture (A2, A3, C1, C2)
Acceptable primary reduction (dorsal inclination <10º, radial shortening <3mm, articular gap <2mm)

Exclusion criteria:

History of ipsilateral fracture
Bilateral fracture
Open fracture
Other concomitant fracture (except ulnar styloid fracture)
Fracture AO B
Previous surgeries in this area
Dementia

Sites / Locations

Hospital del MarRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Arm Label

4 week cast

6 week cast

Arm Description

Patients over 65 years old with a distal radius fracture will be treated conservatively with a cast for 4 weeks. Once the immobilization will be removed, the standard rehabilitation protocol of our center used in these fractures will be carried out. The usual clinical and radiological follow-up will be performed at 3, 6 and 12 months.

Patients over 65 years old with a distal radius fracture will be treated conservatively with a cast for 6 weeks. Once the immobilization will be removed, the standard rehabilitation protocol of our center used in these fractures will be carried out. The usual clinical and radiological follow-up will be performed at 3, 6 and 12 months.

Outcomes

Primary Outcome Measures

Patient Rated Wrist Evaluation (PRWE)

The PRWE is a 15-item questionnaire designed to measure pain and wrist disability in activities of daily living.

Patient Rated Wrist Evaluation (PRWE)

The PRWE is a 15-item questionnaire designed to measure pain and wrist disability in activities of daily living.

Patient Rated Wrist Evaluation (PRWE)

The PRWE is a 15-item questionnaire designed to measure pain and wrist disability in activities of daily living.

Secondary Outcome Measures

Quick Disability of Arm and Shoulder (QuickDASH)

It is a questionnaire that looks at the ability of a patient to perform certain upper extremity activities. This questionnaire is a self-report questionnaire that patients can rate difficulty and interference with daily life on a 5 point Likert scale.

Quick Disability of Arm and Shoulder (QuickDASH)

It is a questionnaire that looks at the ability of a patient to perform certain upper extremity activities. This questionnaire is a self-report questionnaire that patients can rate difficulty and interference with daily life on a 5 point Likert scale.

Quick Disability of Arm and Shoulder (QuickDASH)

It is a questionnaire that looks at the ability of a patient to perform certain upper extremity activities. This questionnaire is a self-report questionnaire that patients can rate difficulty and interference with daily life on a 5 point Likert scale.

Visual Analogue Scale (VAS)

is a measuring instrument that tries to measure the amount of pain a patient feels, which is supposed to be a value that oscillates in a continuous between no pain and an extreme amount of pain.

Visual Analogue Scale (VAS)

is a measuring instrument that tries to measure the amount of pain a patient feels, which is supposed to be a value that oscillates in a continuous between no pain and an extreme amount of pain.

Visual Analogue Scale (VAS)

is a measuring instrument that tries to measure the amount of pain a patient feels, which is supposed to be a value that oscillates in a continuous between no pain and an extreme amount of pain.

Range Of Movement (ROM)

Flexion, Extension, radial and ulnar deviation

Range Of Movement (ROM)

Flexion, Extension, radial and ulnar deviation

Range Of Movement (ROM)

Flexion, Extension, radial and ulnar deviation

Complications

Stiffness, delayed and non-union and complex regional pain syndrome (CRPS).

Full Information

NCT ID

NCT05370365

First Posted

May 6, 2022

Last Updated

May 6, 2022

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