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Sponsors and Collaborators: |
University of British Columbia Smith+Nephew |
Information provided by: | University of British Columbia |
ClinicalTrials.gov Identifier: | NCT00704743 |
Displaced fractures of the distal radius requiring closed reduction (otherwise known as Colles fractures) are common in the emergency department. The purpose of the study is to determine if there is any difference between 3 methods of immobilization for these fractures: circumferential cast, volar-dorsal splint, and modified sugar tong splint. Maintenance of position was assessed at 4 weeks after the injury and wrist strength and function were assessed at 2 months and 6 months. We hypothesize that there will not be a clinically important difference between these methods of immobilizing for displaced fractures of the distal radius requiring closed reduction.
Extended description of the protocol, including information not already contained in other fields.
Objectives:
Primary: To determine the effectiveness of three immobilization methods (circumferential cast [CC], volar dorsal splint [VDS], modified sugar-tong [MST] splint) in maintaining the position of displaced distal radius fractures after successful closed reduction.
Secondary to assess long term functional outcomes associated with fiberglass splint immobilization versus standard cylindrical casting in patients maintaining initial non-operative reductions.
Design: Randomized prospective single blind controlled trial Patients/Participants: Patients over 18 years of age who presented to the emergency department with a displaced fracture of the distal radius, requiring closed reduction.
Outcome Measurements: Loss of reduction (radiological slippage or the need for surgical fixation during the 3-4 week primary immobilization period after initial successful reduction). Secondary outcomes were DASH score, return to work, activities of daily living (ADL), wrist pain, range of motion (ROM) and grip strength.
Study Phase Phase 3 Study Type Interventional - Assigned to treatment Recruitment status Completed 2003 Record Verification Date March 2003 Anticipated trial start date November 1998 Last Follow-Up Date December 2002 Data Entry Closure Date January 2004 Study Completion Date July 2004 Purpose Treatment Allocation Randomized
Masking Single Blind Control Active Assignment Parallel Endpoints Efficacy Primary outcome Radiologic slippage of fracture at 4 weeks post reduction
Key secondary outcomes Functional outcomes: DASH score, return to work, activities of daily living (ADL), wrist pain, range of motion (ROM) and grip strength
Condition | Intervention | Phase |
Colles' Fracture |
Device: Cylindrical cast Device: Modified sugar tong cast Device: Volar dorsal splint |
Phase III |
MedlinePlus related topics: | Flu Fractures |
Study Type: | Interventional |
Study Design: | Treatment, Randomized, Single Blind (Subject), Active Control, Parallel Assignment, Efficacy Study |
Official Title: | A Prospective Randomized Controlled Trial Comparing Circumferential Casting Versus Splinting in Displaced Colles' Fractures |
Enrollment: | 120 |
Study Start Date: | November 1998 |
Study Completion Date: | January 2004 |
Arms | Assigned Interventions |
1: Active Comparator
Cylindrical cast
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Device: Cylindrical cast
Arm cast/immobilization technique for wrist fracture
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2: Active Comparator
Modified sugar tong cast
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Device: Modified sugar tong cast
Arm cast/immobilization technique for wrist fracture
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3: Active Comparator
Volar dorsal splint
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Device: Volar dorsal splint
Arm cast/immobilization technique for wrist fracture
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Primary: To determine the effectiveness of three immobilization methods (circumferential cast [CC], volar dorsal splint [VDS], modified sugar-tong [MST] splint) in maintaining the position of displaced distal radius fractures after successful closed reduction.
Secondary to assess long term functional outcomes associated with fiberglass splint immobilization versus standard cylindrical casting in patients maintaining initial non-operative reductions.
Design: Randomized prospective single blind controlled trial Patients/Participants: Patients over 18 years of age who presented to the emergency department with a displaced fracture of the distal radius, requiring closed reduction.
Outcome Measurements: Loss of reduction (radiological slippage or the need for surgical fixation during the 3-4 week primary immobilization period after initial successful reduction). Secondary outcomes were DASH score, return to work, activities of daily living (ADL), wrist pain, range of motion (ROM) and grip strength.
Ages Eligible for Study: | 18 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Canada, British Columbia | |||||
Department of Emergency Medicine, St Paul's Hospital | |||||
Vancouver, British Columbia, Canada, V1Y 1Z1 |
University of British Columbia |
Smith+Nephew |
Principal Investigator: | Robert Stenstrom, MD, Ph.D | University of British Columbia |
Study Director: | Eric Grafstein, MD | University of British Columbia |
Responsible Party: | University of British Columbia ( Dr. Robert Stenstrom ) |
Study ID Numbers: | P98-0172 |
First Received: | June 23, 2008 |
Last Updated: | June 24, 2008 |
ClinicalTrials.gov Identifier: | NCT00704743 |
Health Authority: | Canada: Health Canada |
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