Distal Radius Fractures Clinical Trial
Official title:
The Influence of Local Bone Status on Complications After Surgical Treatment of Distal Radius Fractures
The purpose of this study is to evaluate if poor bone quality increases the risk of specific types of treatment complications in patients with distal radius fractures treated with open reduction and Locking Compression Plates(LCP).
Despite fractures of the wrist being widely regarded as "fragility fractures", there is good
evidence that they are caused by diminished Bone Mineral Density (BMD) and that a low BMD
value predicts a higher fracture risk at the distal radius. Both measurements of areal BMD
with DXA and volumetric BMD with peripheral Quantitative Computer Tomography (pQCT)showed a
lower BMD in women with Colles' fractures. Thus, Colles' fractures can be recognized as a
good indication of underlying osteoporosis. High resolution peripheral Quantitative Computer
Tomography at the distal radius will be evaluated in a subset of patients.
Clinical experts are concerned that osteoporosis increases the risk for poor outcomes and
complication rates in surgical patients with osteoporosis. However, this has not yet been
confirmed in clinical studies. It is important to investigate this question in order to
correctly advise clinicians and patients and possibly develop tailored approaches for
treatment of osteoporotic patients with distal radius fractures.
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Observational Model: Cohort, Time Perspective: Prospective
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||
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