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Metaphyseal Distal Radius Fractures

Primary Purpose

Metaphyseal Radius Fractures (AO Type A2, A3, C1 et C2)

Status
Completed
Phase
Not Applicable
Locations
France
Study Type
Interventional
Intervention
- locking anterior plate
Sponsored by
University Hospital, Clermont-Ferrand
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Metaphyseal Radius Fractures (AO Type A2, A3, C1 et C2) focused on measuring Fracture, Radius, Osteosynthesis, Metaphyseal, Pinning, Locking anterior plate

Eligibility Criteria

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

Inclusion Criteria:

  • - metaphyseal inferior radius fractures (AO classification 23A2, 23A3, 23C1, 23C2)
  • age 60 years or older

Exclusion Criteria:

  • open fracture
  • fractures AO classification: 23A1, 23C3, 23B1, 23B2, 23B3
  • polytraumatized patient
  • fractures older than 15 days
  • infection of the operating site
  • previous osseous disease

Sites / Locations

  • CHU Clermont-Ferrand

Outcomes

Primary Outcome Measures

- X-ray assessments (preoperative, postoperative; 2 weeks, 5 weeks, 3, 6 and 12 mouths)

Secondary Outcome Measures

PAIN score (2 weeks, 5 weeks, 3, 6 and 12 months)
Gartland, O'Brien, DASH and Euroquol EQ-5D scores (5 weeks, 3, 6 and 12 months)
Grip and pinch strength (5 weeks, 3, 6 and 12 months)

Full Information

First Posted
July 2, 2010
Last Updated
June 11, 2013
Sponsor
University Hospital, Clermont-Ferrand
Collaborators
Stryker SA, Polyclinique du Parc Rambot
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1. Study Identification

Unique Protocol Identification Number
NCT01156766
Brief Title
Metaphyseal Distal Radius Fractures
Official Title
Locking Plate Versus Pins for Surgical Treatment of Posteriorly Tilted Distal Radius Fracture
Study Type
Interventional

2. Study Status

Record Verification Date
June 2013
Overall Recruitment Status
Completed
Study Start Date
June 2010 (undefined)
Primary Completion Date
March 2013 (Actual)
Study Completion Date
March 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University Hospital, Clermont-Ferrand
Collaborators
Stryker SA, Polyclinique du Parc Rambot

4. Oversight

5. Study Description

Brief Summary
The number of osteoporotic fractures, among which the fractures of the lower extremity of the radius (16 % of fractures seen in emergencies) is going to increase. Several surgical techniques are described in particular locking plates and intrafocal pinning techniques. The aim of the study is to compare (X-ray assessments and functional outcome) these two types of treatment by using a prospective, randomised multicentric analysis.
Detailed Description
Because an increasing number of elderly patient, the number of osteoporotic fractures, among which the fractures of the lower extremity of the radius (16 % of fractures seen in emergencies) is going to increase. Several surgical techniques exist of which in particular locking plates and intrafocal pinning. The availability of new materials (locking plates with angular stability) seems to reduce the risks of osteosynthesis failure and seems to give more constant results: hawever, the price to pay is a more invasive technique and a superior cost. The rehabilitation seems also faster, allowing the possibility to get back the maximum of autonomy. These clinical facts need of course to be validated.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Metaphyseal Radius Fractures (AO Type A2, A3, C1 et C2)
Keywords
Fracture, Radius, Osteosynthesis, Metaphyseal, Pinning, Locking anterior plate

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
90 (Actual)

8. Arms, Groups, and Interventions

Intervention Type
Device
Intervention Name(s)
- locking anterior plate
Intervention Description
The number of osteoporotic fractures, among which the fractures of the lower extremity of the radius (16 % of fractures seen in emergencies) is going to increase. Several surgical techniques are described in particular locking plates and intrafocal pinning techniques. The aim of the study is to compare (X-ray assessments and functional outcome) these two types of treatment by using a prospective, randomised multicentric analysis.
Primary Outcome Measure Information:
Title
- X-ray assessments (preoperative, postoperative; 2 weeks, 5 weeks, 3, 6 and 12 mouths)
Time Frame
preoperative, postoperative; 2 weeks, 5 weeks, 3, 6 and 12 mouths
Secondary Outcome Measure Information:
Title
PAIN score (2 weeks, 5 weeks, 3, 6 and 12 months)
Time Frame
2 weeks, 5 weeks, 3, 6 and 12 months
Title
Gartland, O'Brien, DASH and Euroquol EQ-5D scores (5 weeks, 3, 6 and 12 months)
Time Frame
5 weeks, 3, 6 and 12 months
Title
Grip and pinch strength (5 weeks, 3, 6 and 12 months)
Time Frame
5 weeks, 3, 6 and 12 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: - metaphyseal inferior radius fractures (AO classification 23A2, 23A3, 23C1, 23C2) age 60 years or older Exclusion Criteria: open fracture fractures AO classification: 23A1, 23C3, 23B1, 23B2, 23B3 polytraumatized patient fractures older than 15 days infection of the operating site previous osseous disease
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Stéphane DESCAMPS, MD
Organizational Affiliation
University Hospital, Clermont-Ferrand
Official's Role
Principal Investigator
Facility Information:
Facility Name
CHU Clermont-Ferrand
City
Clermont-Ferrand
ZIP/Postal Code
63003
Country
France

12. IPD Sharing Statement

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Metaphyseal Distal Radius Fractures

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