Active clinical trials for "Radius Fractures"

A cost-utility analysis based on an earlier published RCT comparing surgery with volar locking plate to non-operative treatment for the elderly with a displaced distal radius fracture.

The primary objective of this study is to evaluate the influence of elbow position on achieving forearm supination and pronation and wrist ROM postoperatively. It is anticipated the results will show recovery of functional motion in a shorter period of time (27 days average). As for the secondary objective of the study, it is anticipated there will be limited pain and cost-containment. These data elements will serve as secondary factors to evaluate.

The investigators plan a prospective randomized controlled study that compares the treatment decisions made by patients who receive decision aids, as compared to patients treated with usual care and the American Society for Surgery of the Hand brochures. The investigators expect to enroll 126 patients.

This project is meant to show wether the HBOT can fasten the recovery process after surgical treatment of distal Radius fractures. For this propose the microcirculation is measured, together with the level of pain on a visual analog scale (VAS) and the remaining force of the hand after surgery is examined. Furthermore the sonography with contrast medium which is long established for examination of organs of the parenchyma, is meant to be verified at the muscular-skeletal system in this project.

The primary goal of this research project is to measure the accuracy of the classifications of the distal radius fracture in the fracture database. The evaluation of the extracted data analyzes the validity of the fracture classifications that the medical staff carry out in everyday clinical practice. Endpoint of this project is the reclassification of the selected fractures by an in-house group of experts in order to be able to carry out a subsequent statistical evaluation. It is analyzed whether there are significant deviations between the classifications of the expert group and the fracture database.

The objective of this study is to determine whether a new minimally invasive method for in vivo measurement of cortical bone tissue properties can identify those who are at risk for fragility fractures of the hip and radius. The investigators hypothesis is that women with fragility fractures of the hip and radius have altered cortical bone tissue properties compared to non-fracture controls independent of standard clinical tests, such as bone mineral density (BMD) by dual-energy x-ray absorptiometry (DXA).

Rupture of the extensor pollicis longus, (EPL) is a common complication after distal radius fractures. A rupture prevents the thumb extension, which in turn has a negative impact on hand function. An EPL-rupture can either be surgically treated by primary suture, which means that the ends of the tendon are sutured. This is however not recommended if the tendon is weakened. In such cases the rupture can be treated by a transfer of, most often, extensor indicis proprius (EIP) to the thumb. Distal radius fractures are common and a rupture of the EPL-tendon is a known complication thar interferes with hand function and therefore more studies on this patient group are warranted. The aim of this prospective study is to compare regaining of thumb function after surgery, with the non-injured side, after primary suture and EIP-transfer after EPL-rupture as a complication following distal radius fracture.

The aim of this study is to evaluate of the effectiveness of a Smartphone application in aiding post-operative rehabilitation of an intra-articular distal radius (wrist) fracture. This study will focus on healthy patients operated on for isolated wrist fractures (intra articular fracture of the distal radius with or without fracture of the distal ulna/cubitus) using plate and screw. The PhysiApp application is a secure smartphone application that enables therapists to transmit personalized rehabilitation exercises to patients. Its effectiveness in patients undergoing surgery for intra-articular fractures of the distal radius fracture. The aim of our research project is to determine the effectiveness of this application for patients undergoing intra-articular distal radius fracture surgery at the Cantonal Hospital of Fribourg in Switzerland. The operation itself will be carried out in the usual way. However, rehabilitation will be carried out with the help of the application, in addition to the usual follow-up by a hand therapist. The aim is to improve wrist mobility and function. Once wrist surgery has been performed (plate and screw osteosynthesis), post-operative rehabilitation will either take place in the company of a hand therapist, using the smartphone application, or will consist solely of conventional rehabilitation by a hand therapist only. Only the patient and the therapist will be aware of the use of the application. The follow-up doctor will receive no information on the treatment methods (single-blind procedure), to enhance the scientific quality of the results of this study. During the 3 months following the operation, wrist mobility will be measured and questionnaires on wrist function will be completed by patients.

The purpose of this study is to compare infraclavicular brachial plexus shot single shot block to continuous catheter nerve block done in adult patients who have under gone surgery to repair distal radius fractures. Visual analogue scores, opioid consumption, quality of recovery and quality of sleep up to 72 hours post operatively will be used for comparison.

Amorphical has a strong basis to believe that the Amorphous Calcium Carbonate (ACC) product has an effect on active mineralization during bone remodelling hence, it has a potential to accelerate fracture healing process. The active mineralization can most probably be attributed to the mineral component of this substance. The distal radius fracture was chosen as the model to test the effects of ACC treatment because it includes both trabecular and cortical bone, is accessible for radiographs, has little soft tissue that can distort the radiograph, and is amenable to multiple functional endpoints. Primary objective: To assess the efficacy of treatment with calcium from ACC compared to placebo on radiographic healing time in subjects with distal radius fractures. Secondary objectives: To evaluate the effect of ACC compared to placebo on the improvement in wrist functional outcome following distal radius fracture. To evaluate the safety profile of ACC in this population