CT Analysis Comparing Cast and Three-Point Indexes in Distal Radius Fracture Care

Distal Radius Fractures Clinical Trial

Official title:

Comparative Computed Tomography Analysis of the Cast Index and Three-Point Index in Distal Radius Fracture Treatment

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT06255106
• Other study ID #: DistalRadiuscast
• Status: Completed
• Start date: February 1, 2022
• Est. completion date: July 15, 2023

Study information

• Verified date: February 2024
• Source: Istanbul University
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Objectives: To compare the cast index and three-point index measurements obtained using computed tomography (CT) with those acquired using conventional methods for treating distal radius fractures Design: A retrospective cohort study Setting: Level 1 trauma center Patients: One hundred and thirteen (45 men and 68 women) patients with distal radius fractures Interventions: Patients with distal radius fractures were retrospectively analyzed and received either conservative cast treatment or surgical intervention through open reduction and internal fixation between 2016 and 2022.

Main outcome measurements: The study evaluated the cast index and three-point index in the cast-treated group and their effectiveness using the Sarmiento index. Furthermore, radial height, volar tilt, and radial inclination were compared between the surgically treated and cast-treated groups.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 113
• Est. completion date: July 15, 2023
• Est. primary completion date: May 10, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 19 Years to 92 Years

Eligibility

Inclusion Criteria:

• Patients aged =18 years

• Diagnosed with distal radius fracture

• Treated with either cast or volar plate osteosynthesis were included in the study.

Exclusion Criteria:

• Patients with multiple fractures in the same upper extremity

• Those treated with dorsal plates or external fixators

• Individuals with open fractures

• Patients with known systemic or rheumatologic diseases

• Those with cervical disk problems

• Individuals lacking post-cast removal CT data

• Patients with incomplete medical records were excluded.

Related Conditions & MeSH terms

• Distal Radius Fractures
• Fractures, Bone
• Radius Fractures
• Wrist Fractures

Intervention

Other:
• cast treatment
Surgical intervention vs cast treatment

Locations

Country	Name	City	State
Turkey	University	Istanbul

Sponsors (1)

Lead Sponsor	Collaborator
Istanbul University

Country where clinical trial is conducted

Turkey, 

References & Publications (5)

Alemdaroglu KB, Iltar S, Aydogan NH, Say F, Kilinc CY, Tiftikci U. Three-point index in predicting redisplacement of extra-articular distal radial fractures in adults. Injury. 2010 Feb;41(2):197-203. doi: 10.1016/j.injury.2009.08.021. Epub 2009 Sep 26. — View Citation

Hosseinzadeh P, Olson D, Eads R, Jaglowicz A, Goldfarb CA, Riley SA. Radiologic Evaluation of the Distal Radius Indices in Early And Late Childhood. Iowa Orthop J. 2018;38:137-140. — View Citation

Kahraman HC, Sibar K, Alemdaroglu KB, Subasi IO, Gokgoz MB. Is three-point index reliable in the follow-up of the distal radius metaphys fractures in the pediatric age group? J Pediatr Orthop B. 2023 Jul 1;32(4):369-377. doi: 10.1097/BPB.0000000000001032. Epub 2022 Nov 14. — View Citation

Owen RA, Melton LJ 3rd, Johnson KA, Ilstrup DM, Riggs BL. Incidence of Colles' fracture in a North American community. Am J Public Health. 1982 Jun;72(6):605-7. doi: 10.2105/ajph.72.6.605. — View Citation

Song J, Yu AX, Li ZH. Comparison of conservative and operative treatment for distal radius fracture: a meta-analysis of randomized controlled trials. Int J Clin Exp Med. 2015 Oct 15;8(10):17023-35. eCollection 2015. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Radial height	Radiologic outcome measurement	2 weeks
Primary	Radial Inclination	Radiologic outcome measurement	2 weeks
Primary	Volar tilt	Radiologic outcome measurement	2 weeks
Primary	Sarmiento radiological score	success of cast treatment	2 weeks
Secondary	Axial Cast Index	Cast index measure in axial plane CT	2 weeks
Secondary	Three point index CT	Three point index measure in CT	2 weeks