Distal Radius Fracture Clinical Trial
Official title:
Bridging Versus Non-bridging Dynamic External Fixation in Early Total Care Treatment Unstable Distal Radius Fractures in Elderly Polytrauma Patients: A Randomized Controlled Study
A single center, parallel group, prospective, randomized clinical trial was conducted at the department of Hand Surgery, ABC (Andre, Bernardo, Caetano) Foundation University Hospital, Santo Andre, Brazil. Two implants used for fixation in closed reduction of distal radius fractures were compared: the bridging dynamic Galaxy Wrist external fixator (Orthofix®, Verona) and the non-bridging Galaxy wrist external fixator system (Orthofix®, Verona).
Dynamic external fixator in the ETC (Early Total Care) of unstable DRFs (distal radius
fractures) may be a good choice of treatment. Because it's fast, safe, minimally invasive
and easily performed method, it could help in the inflammatory systemic response to trauma,
unable earlier functional recovery and shorten the hospitalization time of these patients
(elderly and polytrauma). From this, in this study to obtain relevant information about each
type of treatment, avoid possible selection bias, information and confusion. Choose a
reproducible and effective method (external fixator), which presents a cost / benefit
compatible with our reality, but that generates doubt the best way to apply this "bridging"
which is already used and that will be our control group and "non-bridging", which will be
the group to be tested.
Rather than establishing the actual value of each of these procedures, is necessary to
optimize and improve the quality of life of these patients in order to return to your
personal and professional activities as soon as possible.
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