ClinicalTrials.gg
CompletedNCT03371030Updated Mar 8, 2023

Role of the Pronator Quadratus in Distal Radius Fractures

An interventional study of Pronatus quadratus reparation in Radius; Fracture, Lower or Distal End, sponsored by Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau. Completed at 1 site in Spain. Open to participants aged 18 Years to 90 Years. Per ClinicalTrials.gov, last updated 2023-03-08.

Primary conditionWrist FracturesRegistry: Fractures, BoneReclassifiedWhy we changed it
Registry
Fractures, Bone — the first condition term the registry derived for this study.
ClinicalTrials.gg
Wrist Fractures
Why
  1. The study's title name Wrist Fractures, a narrower term within Fractures, Bone.
Confidence
High: the new condition is named in the study's own title. Of 46 hand-checked studies reclassified this way, 72% were exactly right and 89% in the right disease family; the registry's first term was right for 4% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau · Not applicable, Interventional, and Treatment

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Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
18 Years to 90 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 11 studies in Wrist Fractures with a site in Spain — 1 open to participants now, 2 under way, none of them phase 3. Wrist Fractures · Spain.

Enrollment
6th of 10
100 · median 110
Started
2018
the only one that year
No phase
9 of 11
1 open now
Registered
2nd of 11
by date
Lead sponsor
2 of 11
Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau

Among the 11 studies in Wrist Fractures with a site in Spain, this one is the 6th largest by enrollment of the 10 interventional ones that give a count, is the only one that started in 2018, is one of 9 with no phase, and was the 2nd registered.

Wrist Fractures

330 studies on the registry are indexed under Wrist Fractures; 72 are open to participants now.

Browse Wrist Fractures studies →

Open to participants now

1 of the 11 studies in Wrist Fractures with a site in Spain is open now. Recruiting first, the newest first:

A study can be open while its sites in Spain have not opened yet or have stopped. Only those recruiting at a site in Spain →

Who these studies take

Of the 43 Wrist Fractures studies recruiting now, 20 (47%) set no upper age limit and 15 (35%) stop at 75 or younger; 7 take children under 18; 6 take healthy volunteers.

This study: 18 Years to 90 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 11 studies in Wrist Fractures with a site in Spain, or all of them as a file.
02

Study summary

The skin, the bones, and most muscles received branches from the source arteries of at least two angiosomes, thus revealing one of the important anastomotic pathways by which the circulation is reconstituted in those cases where a source artery is interrupted by disease or trauma.

There are numerous metaphyseal-epiphyseal branches arise within the pronator quadratus and the anterior interosseous artery and course towards the distal radius. These branches may be fundamental to the healing of the distal radius fractures and make nonunion a rare complication. The aim of this study is the evaluation of the role of the pronator quadratus muscle and its repair in volar approach in distal radius fractures treated with plate fixation.

Read the detailed description

Nonunion is an extremely rare complication in distal radius fractures and is most likely to occur in patients with conditions such as diabetes, peripheral vascular disease, or alcoholism. Diagnosis of nonunion is based on the absence of radiographic signs of union at 6 months. Treatment should be individualized but options are reconstructive procedures or wrist arthrodesis. In volar plating and often by the fracture injury itself, the complete pronator quadratus is stripped off the volar radius. Thus, the intraosseous collateral circulation must be sufficient for clinical healing. Any operative approach to the distal radius fracture should not compromise both volar radial and the dorsoulnar arteries.

While the branches to the pronator quadratus must be sacrificed in a palmar approach, the distal perforator can and should be spared. This is true even in the flexor carpi radialis extended approach. In distal radius fractures, when the normal outward flow of blood through the cortex is blocked, the periosteal arterioles have more ability than medullary arterioles to function and proliferate.

03

Conditions studied

  • Radius; Fracture, Lower or Distal End

Browse trials for

Keywords

  • distal radius fractures
  • pronator quadratus
  • osteosynthesis
04

In context

Wrist Fractures Reclassified

330 studies on the registry are indexed under Wrist Fractures; 72 are open to participants now.

This study's enrollment of 100 is above the median of 63 across 265 interventional studies indexed under Wrist Fractures.

Browse Wrist Fractures studies →

Lead sponsor

Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau is the lead sponsor of 343 studies on the registry; 65 are open to participants now.

Compared within Wrist Fractures, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Fractures, Bone. The counts are of registry records indexed under each term, refreshed daily. How we classify →

05

Who can participate

Ages eligible
18 Years to 90 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

  • Distal radius fractures with intra-articular fragment, comminuted or displaced fracture
  • Adults between 18- 90 years old

Exclusion criteria

Exclusion Criteria:

  • Children
  • Non displaced distal radius fractures treated with immobilization.
  • Adults older than 90 years old
06

Study design

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

Study arms

  • Experimental
    Pronator quadratus reparation

    Surgical Intervention: Radius fracture teated with plate and pronator quadratus muscle repair.

    Procedure: Pronatus quadratus reparation

  • Active comparator
    No pronator quadratus reparation

    Surgical Intervention: Radius fracture with plate without pronator quadratus muscle repair.

    Procedure: Pronatus quadratus reparation

Interventions

  • ProcedurePronatus quadratus reparation

    Displaced and intra-articular distal radius fractures treated with volar approach and plate fixation. Pronator Quadratus muscle repair.

07

What researchers measure

Primary outcomes

  1. Fracture consolidation

    X-Ray radius union

    Time frame: 3 months

Secondary outcomes

  1. Clinical stability

    Clinical stability of the distal radioulnar joint

    Time frame: 3 months

  2. Radiological stability

    Radiological stability of the distal radioulnar joint

    Time frame: 3 months

08

Study locations

1 site
  • Hospital de la Santa Creu i Sant Pau
    Barcelona, 08025, Spain
09

References and documents

Publications

  • Haerle M, Schaller HE, Mathoulin C. Vascular anatomy of the palmar surfaces of the distal radius and ulna: its relevance to pedicled bone grafts at the distal palmar forearm. J Hand Surg Br. 2003 Apr;28(2):131-6. doi: 10.1016/s0266-7681(02)00279-6. PubMed 12631484 ↗
  • Inoue Y, Taylor GI. The angiosomes of the forearm: anatomic study and clinical implications. Plast Reconstr Surg. 1996 Aug;98(2):195-210. doi: 10.1097/00006534-199608000-00001. PubMed 8764707 ↗
  • Orbay J, Badia A, Khoury RK, Gonzalez E, Indriago I. Volar fixed-angle fixation of distal radius fractures: the DVR plate. Tech Hand Up Extrem Surg. 2004 Sep;8(3):142-8. doi: 10.1097/01.bth.0000126570.82826.0a. PubMed 16518106 ↗
  • Sheetz KK, Bishop AT, Berger RA. The arterial blood supply of the distal radius and ulna and its potential use in vascularized pedicled bone grafts. J Hand Surg Am. 1995 Nov;20(6):902-14. doi: 10.1016/S0363-5023(05)80136-4. PubMed 8583061 ↗
  • Huang HK, Wang JP, Chang MC. Repair of Pronator Quadratus With Partial Muscle Split and Distal Transfer for Volar Plating of Distal Radius Fractures. J Hand Surg Am. 2017 Nov;42(11):935.e1-935.e5. doi: 10.1016/j.jhsa.2017.08.018. PubMed 29101976 ↗
  • Lamas C, Llusa M, Mendez A, Proubasta I, Carrera A, Forcada P. Intraosseous vascularity of the distal radius: anatomy and clinical implications in distal radius fractures. Hand (N Y). 2009 Dec;4(4):418-23. doi: 10.1007/s11552-009-9204-9. Epub 2009 May 28. PubMed 19475457 ↗

Individual participant data

Plan to share: No

10

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 Jan 2018 to primary completion in Oct 2022, 57 months.

Of 126 non-industry interventional studies with no phase under Wrist Fractures, half reached primary completion within 25 months of starting (the median), counting those still running; a quarter within 16 and three quarters within 50. This study's 57 months is above that.

Counting every sponsor, half of 127 studies reached it within 25 months; a quarter within 16 and three quarters within 50.

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

Registered
Nov 29, 2017
First posted
Dec 13, 2017
StartActual
Jan 4, 2018
Primary completionActual
Oct 28, 2022
CompletionActual
Nov 30, 2022
Last update
Mar 8, 2023
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 Mar 8, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03371030
Collaborators
Spanish Clinical Research Network - SCReN
Responsible party
Sponsor
First posted
Dec 13, 2017
Start date
Jan 4, 2018
Primary completion
Oct 28, 2022
Completion
Nov 30, 2022
Last update
Mar 8, 2023

Study contacts

Claudia Lamas, MD, Ph D
principal investigator · Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau

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 Mar 2023. You cannot join it, but the record below documents what was studied.

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