An observational study in Distal Radius Fractures, sponsored by University of Warwick. Status unknown at 1 site in United Kingdom. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2011-09-15.
Sponsored by University of Warwick · Observational
Patients attending the University Hospital Coventry UK with a broken wrist requiring an operation, will be invited to enter the study. At the first visit, they will have an xray of the wrist and will be asked to complete a number of questionnaires. The questions are to determine if they normally have pain in the wrist and how well they can perform their daily activities. The patient will then have an operation, and the fracture in the wrist will be held in the correct position with either a metal plate and screws or wires.
At 6 weeks following the operation the patient will be reassessed and an xray will be taken. At 3 months, 6 months and 12 months after the operation patients will perform tests to assess the strength of their grip, pinch and movement of their wrist. In addition they will complete the the same questionnaires from their first visit. At the 12 month visit patients will have another xray.
2,261 studies on the registry are indexed under Fractures, Bone; 325 are open to participants now.
This study's planned enrollment of 50 is below the median of 100 across 675 observational studies indexed under Fractures, Bone.
Browse Fractures, Bone studies →University of Warwick is the lead sponsor of 26 studies on the registry; 3 are open to participants now.
Counted across the registry records on this site, refreshed daily.
All adult patients presenting to University Hospital Coventry with an acute fracture of the distal radius requiring operative management
Exclusion Criteria:
Patients aged 18 years and older with a fracture of the distal radius, within 3 cm of the radiocarpal joint
Procedure: Kirschner wire fixation · Procedure: Volar Locking Plate fixation
The wires are passed through the skin over the dorsal aspect of the distal radius and into the bone in order to hold the fracture in the correct (anatomical) position. The size and number of wires, the insertion technique and the configuration of wires will be left entirely to the discretion of the surgeon. A plaster cast will be applied at the end of the procedure to supplement the wire fixation as per standard surgical practice. This cast holds the wrist still and is left on until the wires are removed at the follow-up appointment.
Also known as: K-wire fixation
The locking-plate is applied through an incision over the volar (palm) aspect of the wrist. The surgical approach, the type of plate and the number and configuration of screws will be left to the discretion of the surgeon. The screws in the distal portion of the bone will be fixed-angle, i.e. screwed into the plate, but this is standard technique for use of these plates. The type of proximal screw will be left to the discretion of the surgeon; these may be locking or non-locking screws. The use of a cast will left to the discretion of the surgeon.
Also known as: open reduction and internal fixation, plate and screw fixation
Grip strength
Maximum grip strength applied to a hand-held dynamometer, measured in kilograms
Time frame: 1 year post-operatively
Pinch strength
The force in kilograms of the pinch between the thumb pad and the radial aspect of the middle phalanx of the index finger when applied to a pinch gauge.
Time frame: 1 year post-operatively
Wrist arc motion
The range of motion in flexion-extension, radioulnar deviation and supination-pronation of the wrist and forearm.
Time frame: 1 year post-operatively
Patient rated wrist evaluation (PRWE)
The PRWE score is a validated self-reported questionnaire. It consists of 15 items specifically related to the function of the wrist.
Time frame: 1 year post-operatively
Disabilities of Arm, Shoulder and Hand Score (DASH)
The DASH outcome measure is a 30-item, self-report questionnaire designed to provide a more general measure of physical function and symptoms in people with musculoskeletal disorders of the upper limb
Time frame: 1 year post-operatively
EQ-5D
A validated, generalised, quality of life questionnaire consisting of 5 domains related to daily activities with a 3-level answer possibility. The combination of answers leads to the QoL score.
Time frame: 1 year post-operatively
This study is status unknown, as verified in Sep 2011. You cannot join it, but the record below documents what was studied.
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University of Warwick