Distal Radius Fracture Clinical Trial
Official title:
Postoperative Immobilization and Physical Therapy Following Volar Locked Plating for Distal Radius Fractures: Are They Necessary?
The purpose of this study is to see if splinting and formal physical therapy are necessary following surgical fixation (open reduction internal fixation) of distal radius fractures (broken wrist). Currently there is no consensus for post-operative protocol following fixation of distal radius fractures. The decision to splint (late mobilization) and prescribe formal physical therapy vs. not to splint (early mobilization) and use self-guided physical therapy is based on surgeon or institutional preference. The goal of this study is to determine if early mobilization leads to improved outcomes and decreased costs without increasing pain or the loss of hardware fixation.
188 patients treated for distal radius fractures with open reduction internal fixation using volar locked plating will be split into two study groups: a group that is immobilized in a splint post operatively and given formal physical therapy and a group that does not receive either of these post operative interventions. The primary outcome will be loss of fixation. Secondary outcomes will include pain, cost, Quick Dash, range of motion, and grip strength. Data will be recorded at the pre-operative visit, as well as at post-operative visits at 2 weeks, 6 weeks, 3 months and 6 months. ;
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Recruiting |
NCT05736068 -
Is Casting of Displaced Pediatric Distal Forearm Fractures Non-inferior to Reduction in General Anesthesia?
|
N/A | |
| Completed |
NCT04554472 -
Usefulness of Intraoperative Ultrasound in a Volar Plate Distal Radius Fixation
|
||
| Completed |
NCT03613922 -
Effects of Early Manual Therapy on Functional Outcomes After Volar Plating of Distal Radius Fractures
|
N/A | |
| Completed |
NCT01823692 -
Evaluating Validity of Ultrasonography in Determining Distal Radius Fracture Reduction
|
Phase 2 | |
| Completed |
NCT02286661 -
Short-Arm Casting Effective in Type A2 Fractures in the Distal Radius
|
N/A | |
| Completed |
NCT01062997 -
Volar Locked Plating Versus Bridging External Fixation
|
N/A | |
| Not yet recruiting |
NCT04100317 -
Spanning Bridged Plate in Comminuted Distal Radius Fractures
|
||
| Recruiting |
NCT04976335 -
Quantitative and Clinical Assessment of Flexor Tendon Gliding Following Application of a Bioresorbable Hydrogel: A Prospective, Randomized Study in Patients Undergoing Distal Radius Fracture Repair
|
N/A | |
| Completed |
NCT03635060 -
Distraction Osteogenesis for Distal Radius Fractures vs. Volar Plating
|
N/A | |
| Not yet recruiting |
NCT05095415 -
Occupational Therapy Pre-operative Education in the Orthopedic Hand Setting
|
N/A | |
| Terminated |
NCT02744352 -
Single Shot vs Catheter Infraclavicular Brachial Plexus Block After Distal Radius Fracture Repair
|
N/A | |
| Completed |
NCT05558306 -
Radiological vs Clinical Outcome in DRF
|
N/A | |
| Completed |
NCT01778673 -
Cortical Comminution and Intra-articular Involvement in Distal Radius Fractures Can Predict Radiological Outcome. A Prospective Multicenter Study
|
N/A | |
| Active, not recruiting |
NCT03349216 -
Bier's Block Versus Systemic Analgesia
|
Phase 2 | |
| Completed |
NCT04357470 -
Manual Dexterity in Ulnar Styloid Fracture Patients
|
N/A | |
| Completed |
NCT05360836 -
The Effect of Motor Imagery in Patients With Radius Distal End Fracture
|
N/A | |
| Recruiting |
NCT02957240 -
Graded Motor Imagery for Women at Risk for Developing Type I CRPS Following Closed Treatment of Distal Radius Fractures
|
N/A | |
| Completed |
NCT03240471 -
Cast OFF Trial: One Versus Four-five Weeks of Plaster Cast Immobilization
|
N/A | |
| Terminated |
NCT04089709 -
Well-arm Exercise in Distal Radius Fractures
|
N/A | |
| Completed |
NCT05623865 -
The Effect of Kinesio Taping on Edema Control and Wrist Functions in Conservatively Followed Distal Radius Fractures.
|
N/A |