Cost-effectiveness, Volar Locking Plate or Non-operative Treatment Distal Radius Fracture (HE-VOCAL)
Radius Fractures, Aged, Cost-Benefit Analysis
About this trial
This is an interventional health services research trial for Radius Fractures
Eligibility Criteria
Inclusion Criteria patient >70 years wrist radiograph >20° dorsal tilt and/or +/-4 mm axial shortening Exclusion Criteria Former disability of either wrist Intra-articular fractures with a step-off of >1 mm or a gap of > 1 mm (at Sodersjukhuset Hospital) High-energy trauma (Sodersjukhuset Hospital) Associated ulnar fracture Injury to ipsilateral upper extremity Rheumatoid arthritis or other severe joint disorders Dementia or Pfeiffer score of <5 at Sodersjukhuset Hospital and <8 at Danderyd Hospital Drug or alcohol abuse or psychiatric disorder Dependency in activities of daily living Patient not a resident within the catchment area of the 2 centers Fracture diagnosed >3 days from injury at Sodersjukhuset Hospital and >6 days at Danderyd Hospital Patient not fit for surgery or American Society of Anesthesiologists class 4
Sites / Locations
- Karolinska Institutet, Department of Clinical Sciences, Danderyd Hospital, Division ot Ortopeadics
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Volar Locking Plate
Non-operative treatment group
Surgery with a Volar Locking Plate due to displaced distal radius fracture
Patients allocated to non-operative treatment received a plaster cast for 4-5 weeks.