ClinicalTrials.gg
CompletedNCT03297047Updated Sep 17, 2019

Comparing Forearm and Upper Arm Combi Cast for Distal Forearm Fractures in Children

An interventional study of combi cast in Salter-Harris Type I, Salter-Harris Type 2 and Radius Fractures, sponsored by University Children's Hospital, Zurich. Completed at 1 site in Switzerland. Open to participants aged 4 Years to 16 Years. Per ClinicalTrials.gov, last updated 2019-09-17.

Sponsored by University Children's Hospital, Zurich · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
4 Years to 16 Years
Sex
All
01

Study summary

The standard treatment for children with closed reduction of displaced distal forearm fractures is an immobilization with an upper arm combicast. The hypothesis is that an forearm immobilization with combicast in children 4-16 years might be sufficient.

Read the detailed description

Children with distal radial or forearm fractures needing closed reduction are eligible for this study. By drawing lots either an immobilization with an upper arm or forearm combicast will be performed. Regular controls after 5, 10, 28 days, 4 weeks and 7 weeks will be performed to check the rate of displacement, consolidation time, wearing comfort and movement of the elbow joint after taking off the cast.

02

Conditions studied

  • Salter-Harris Type I
  • Salter-Harris Type 2
  • Radius Fractures
  • Forearm Fracture

Keywords

  • cast, fracture, immobilization, displacement, child
03

In context

Radius Fractures

62 studies on the registry are indexed under Radius Fractures; 6 are open to participants now.

This study's enrollment of 120 is above the median of 60 across 48 interventional studies indexed under Radius Fractures.

Browse Radius Fractures studies →

Lead sponsor

University Children's Hospital, Zurich is the lead sponsor of 95 studies on the registry; 23 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
4 Years to 16 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • open growth Zone
  • displaced metaphyseal radial or forearm fractures including Salter harris fracture 1 and 2 which require closed reduction
  • written

Exclusion criteria

Exclusion Criteria:

  • intraarticular fractures
  • open fractures
  • unstable fractures
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
120 participants (actual)

Study arms

  • Active comparator
    upper arm combi cast

    standardized treatment

    Device: combi cast

  • Experimental
    forearm combi cast

    Treatment with a forearm combi cast should be a sufficient immobilization

    Device: combi cast

Interventions

  • Devicecombi cast

    upper arm or forearm combi cast

06

What researchers measure

Primary outcomes

  1. secondary displacement of the fracture

    radiological evaluation

    Time frame: Significant difference of secondary displaced fractures 28 days after closed reduction of fracture

Secondary outcomes

  1. Wearing comfort of the two different casts

    help in daily life in hours

    Time frame: 5, 10, 28 days, 4 weeks, 7 weeks after closed reduction of fracture

  2. Mobilisation of elbow joint after cast removal

    Mobility of the elbow joint in degrees (flection and extension measurement)

    Time frame: 4 weeks and 7 weeks after closed reduction of fracture

07

Study locations

1 site
  • Children's Hospital
    Zurich, 8032, Switzerland
08

References and documents

Publications

  • Paneru SR, Rijal R, Shrestha BP, Nepal P, Khanal GP, Karn NK, Singh MP, Rai P. Randomized controlled trial comparing above- and below-elbow plaster casts for distal forearm fractures in children. J Child Orthop. 2010 Jun;4(3):233-7. doi: 10.1007/s11832-010-0250-1. Epub 2010 Mar 17. PubMed 21629372 ↗
  • Webb GR, Galpin RD, Armstrong DG. Comparison of short and long arm plaster casts for displaced fractures in the distal third of the forearm in children. J Bone Joint Surg Am. 2006 Jan;88(1):9-17. doi: 10.2106/JBJS.E.00131. PubMed 16391244 ↗
  • Boyer BA, Overton B, Schrader W, Riley P, Fleissner P. Position of immobilization for pediatric forearm fractures. J Pediatr Orthop. 2002 Mar-Apr;22(2):185-7. PubMed 11856927 ↗
  • Bhatia M, Housden PH. Re-displacement of paediatric forearm fractures: role of plaster moulding and padding. Injury. 2006 Mar;37(3):259-68. doi: 10.1016/j.injury.2005.10.002. Epub 2006 Jan 18. Erratum In: Injury. 2006 Aug;37(8):801. PubMed 16414049 ↗
  • Katz K, Weigl D, Becker T, Attias J, Bar-On E. Short-term after-effect of forearm cast removal in children. J Orthop Sci. 2011 May;16(3):283-5. doi: 10.1007/s00776-011-0054-2. Epub 2011 Mar 29. PubMed 21590522 ↗
  • Seiler M, Heinz P, Callegari A, Dreher T, Staubli G, Aufdenblatten C. Short and long-arm fiberglass cast immobilization for displaced distal forearm fractures in children: a randomized controlled trial. Int Orthop. 2021 Mar;45(3):759-768. doi: 10.1007/s00264-020-04800-w. Epub 2020 Sep 17. PubMed 32940750 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Oct 2017 to primary completion in Aug 2019, 22 months.

Of 14 interventional studies with no phase under Radius Fractures, half reached primary completion within 21 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 29. This study's 22 months is close to that.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 27, 2017
First posted
Sep 29, 2017
StartActual
Oct 2, 2017
Primary completionActual
Aug 29, 2019
CompletionActual
Aug 29, 2019
Last update
Sep 17, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 17, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03297047
Lead sponsor
University Children's Hospital, Zurich
Responsible party
Georg Staubli (Dr. med., University Children's Hospital, Zurich) — Principal investigator
First posted
Sep 29, 2017
Start date
Oct 2, 2017
Primary completion
Aug 29, 2019
Completion
Aug 29, 2019
Last update
Sep 17, 2019

Study contacts

Georg Staubli, Dr. med
principal investigator · Emergency department, University Children's Hospital Zurich

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2019. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion