Cast vs. Splints for Minimally Displaced Distal Radius Fractures in the Elderly
| Status: | Completed |
|---|---|
| Conditions: | Orthopedic |
| Therapuetic Areas: | Orthopedics / Podiatry |
| Healthy: | No |
| Age Range: | 60 - Any |
| Updated: | 5/19/2016 |
| Start Date: | April 2014 |
| End Date: | April 2016 |
Use of Cast Versus Removable Splints for Minimally Displaced Distal Radius Fractures in Elderly Patients: A Prospective, Randomized Trial
The purpose of this prospective randomized study is to add to the body of knowledge on the
treatment of minimally displaced distal radius fractures in patients over 60 years of age.
The investigators believe that treating minimally displaced distal radius fractures in
people over 60 with a removable splint and early range of motion will provide greater
patient satisfaction, fewer complications, and earlier functional returns to pre-injury for
these patients compared to those treated with a short arm cast which immobilizes the limb
for at least four weeks, and has been shown to lead to longer recovery and possible residual
stiffness. The investigators hope to provide sufficient evidence in directing treatment that
will give the most efficacious and the most satisfactory return of prior function to
patients. Since distal radius fractures in the elderly are common because of poorer bone
quality, the elderly proportion of the population is increasing, and controlling health
costs is of current concern, answering the question of which treatment produces the best
results for all these concerns is of increasing importance now.
treatment of minimally displaced distal radius fractures in patients over 60 years of age.
The investigators believe that treating minimally displaced distal radius fractures in
people over 60 with a removable splint and early range of motion will provide greater
patient satisfaction, fewer complications, and earlier functional returns to pre-injury for
these patients compared to those treated with a short arm cast which immobilizes the limb
for at least four weeks, and has been shown to lead to longer recovery and possible residual
stiffness. The investigators hope to provide sufficient evidence in directing treatment that
will give the most efficacious and the most satisfactory return of prior function to
patients. Since distal radius fractures in the elderly are common because of poorer bone
quality, the elderly proportion of the population is increasing, and controlling health
costs is of current concern, answering the question of which treatment produces the best
results for all these concerns is of increasing importance now.
Inclusion Criteria:
1. Colles' Fracture - Distal radius fracture with dorsal angulation, apex volar
(satisfies non-operative radiographic criteria before or after reduction
2. Isolated upper limb injury
3. No previous wrist fracture
4. Available for follow-up
5. Between 60 and 100 years of age
Exclusion Criteria:
1. Less than 60 years of age
2. Fractures that do not meet non-operative criteria or are deemed unstable by surgeon,
subsequently requiring surgery after first clinic visit.
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