Bone Fracture Clinical Trial
Official title:
RCT Comparing the Efficacy of POP Cast vs Woodcast for Distal Radial Fractures in Children.
The investigators project is a randomised controlled trial that will compare the efficacy of
the traditional casting method against the woodcast splint in distal radial fracture. After
the investigators have taken consent and the patients have agreed to be a part of the
project, the investigators will randomly divide the participants into two groups. One with
the traditional cast and one with the wood cast. The difference will be measured by using the
EQ-5D-Y tool alongside the use of the DASH score and our own questionnaire.
The study will take place over the following year with the Sheffield Children's Hospital
being the only site involved. Woodcast products have the CE declaration of conformity which
is covered for the use in children, and apart from the type of cast the child is given, the
course of treatment is the same for both group
Distal radial fractures are a very common fracture. Without good plaster immobilisation these
fractures are prone to slipping. As a result, patients may end up with surgical treatment
which would otherwise not be needed if the plaster were to hold the fracture position
adequately. If one was shown to be better compared to the other, then all hospitals could
start to use a more effective treatment.
With traditional casting, some of the details of the fracture are missed due to the shadowing
on the x-ray. The woodcast aims to reduce this shadowing, allowing a more detailed image of
the fracture and hopefully a better outcome. Problems may arise with the plaster cast, at one
or two week scans, in which the cast may need to be removed for imaging, this could lead to
displacement of the fracture effecting the outcome. Woodcast would potentially not need to be
removed or is easily removed due to the fact that it is not a complete cast and so would
hopefully improve the outcomes for the patient.
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