CClinicalTrials.gg
Status unknownNCT05371938EXTENDUpdated May 12, 2022

Volar Locking Plate Versus External Fixation for Distal Radius Fracture - a Longterm Follow up

An interventional study of Volar locking plate and external fixation in Radius Fracture Distal, Surgery and Surgery--Complications, sponsored by Olof Skoldenberg. Status unknown at 1 site in Sweden. Open to participants aged 20 Years to 74 Years. Per ClinicalTrials.gov, last updated 2022-05-12.

Sponsored by Olof Skoldenberg · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified May 2022), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
203
Allocation
Randomized
Ages
20 Years to 74 Years
Sex
All
01

Study summary

A 10-year follow up of a fusion of two earlier published randomized controlled trials. 203 patients with displaced distal radius fractures were randomized to surgery with a volar locking plate or external fixation.

Read the detailed description

Follow up includes PROMs (DASH, PRWE, EQ-5D), radiological assesment and objective tests by a hand occupational therapist (ROM, grip strength).

Previous Clinical trials registration for the original studies this long-term follow up is a continuation on: NCT00989222, NCT01034943, NCT01035359

02

Conditions studied

  • Radius Fracture Distal
  • Surgery
  • Surgery--Complications
  • Treatment Complication
  • Tendon Injuries
  • Tendon Rupture
  • Surgical Site Infection
  • CRPS Type I
  • CRPS Type II
  • Dislocation
  • Osteoarthritis
03

In context

Surgical Wound Infection

670 studies on the registry are indexed under Surgical Wound Infection; 141 are open to participants now.

This study's planned enrollment of 203 is close to the median of 200 across 514 interventional studies indexed under Surgical Wound Infection.

Browse Surgical Wound Infection studies →

Lead sponsor

Olof Skoldenberg is the lead sponsor of 2 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
20 Years to 74 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

DS center

  • acute unilateral dorsally displaced distal radius fracture with a axial shortening of at least 4 mm or a dorsal displacement of at least 20 degrees.
  • Age 20-70

SÖS center

  • Age 50-74 for women and 60-74 for men
  • injury only after fall from a standing height
  • wrist radiography of at least 20 degrees dorsal dislocation and/or at least 5 mm axial shortening
  • good knowledge of written and spoken swedish
  • fracture diagnosed within 72 hours from injury
  • patient resident within the catchment area of SÖS center

Exclusion criteria

Exclusion Criteria:

DS center:

  • no previous fracture of either wrist
  • ipsilateral acute fracture of the upper extremity
  • medicated with warfarin
  • unable to cooperate with follow-up (dementia, substance abuse, psychiatric illness, language problems)
  • open fracture
  • fracture that was not amenable by both methods (distal fragment to small or to comminuted)

SÖS center:

  • former disability of either wrist
  • other concomitant injuries
  • rheumatoid arthritis or other severe joint disorder
  • Dementia or pfeiffer score under 5 points
  • drug abuse, alcohol abuse or psychiatric disorder
  • dependency in activity of daily living
  • medical condition contradicting general anesthesia
05

Study design

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

Study arms

  • Experimental
    Volar Locking Plate

    Surgery with volar locking plate

    Procedure: Volar locking plate

  • Active comparator
    External fixation

    Surgery with external fixation

    Procedure: external fixation

Interventions

  • ProcedureVolar locking plate

    Volar locking plate is the intervention

  • Procedureexternal fixation

    surgery with external fixation

06

What researchers measure

Primary outcomes

  1. Disability of the arm shoulder and hand (DASH)

    PROM Patient Rated outcome Measurement. A 30-item questionnaire to assess musculoskeletal disorders in upper limbs. It also has two 4-items optional modules to assess function and symptoms in athletes, artists and workers. Item response range from 1 (no difficult) to 5 (unable). The total score ranges from 0 (no disability) to 100 (most severe disability).

    Time frame: 10 years after initial surgery

Secondary outcomes

  1. Patient rated wrist evaluation (PRWE)

    A patient rated outcome measurement(PROM) a subjective test of function by a 15-item questionnaire. PRWE is specific for wrist evaluation. It consists of two subscales - pain and function. Total score ranges from 0 (no disability) to 100 (severe disability)

    Time frame: 10 years after initial surgery

  2. Radiological assesment

    x-ray of both wrists, AP and lateral. Assessing radial inclination, dorsal tilt, ulnar variance. Osteoarthritis of the radioulnar joint and DRU-joint, fractures in carpus/ulna. VISI/DISI and SL-dissociation.

    Time frame: 10 years after initial surgery

  3. Objective tests of range of motion (ROM)

    pronation and supination, ulnar- and radial deviation, volar flexion and doral extension of both wrists with a goniometer, units will be degrees.

    Time frame: 10 years after initial surgery

  4. Journal investigation

    A journal assesment to find complications as infections, reoperations, CRPS, nerv injuries.

    Time frame: 0-10 years after initial surgery

  5. EQ-5D

    A health related quality of life questionnaire. EQ-5D is the correct name and not an abbreviation. 5 dimensions of health is assessed (mobility, self-care, usual activities, pain/discomfort and anxiety/depression) in three levels (no problems/some or moderate problems/extreme problems). The responses of EQ-5D can be converted to a singel number - a index value and compared with a value set. The index value reflects how good or bad the health statues is. There is also a visual analogue scale on overall health with the scale 0 (worst imaginable health state) to 100 (best imaginable health state).

    Time frame: 10 years after initial surgery

  6. Objective test of grip strength

    Test of grip strength by GRIPPIT units is Newton. Grip strength will be measured bilateral and presented as maximum, mean and value after 10 seconds.

    Time frame: 10 year after initial surgery.

07

Study locations

1 of 1 sites recruiting
  • Karolinska Institutet, Department of Clinical Sciences, Danderyd Hospital, Division of Ortopeadics
    Stockholm, 182 88, Sweden
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 12, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05371938
Lead sponsor
Olof Skoldenberg
Collaborators
The Swedish Association for Survivors of Accident and Injury
Responsible party
Olof Skoldenberg (Professor, Danderyd Hospital) — Sponsor-investigator
First posted
May 12, 2022
Start date
Apr 1, 2022
Primary completion
Apr 2023 (estimated)
Completion
Oct 2023 (estimated)
Last update
May 12, 2022

Study contacts

Olof Sköldenberg, Professor
Contact
olof.skoldenberg@regionstockholm.se
0046812357245
Sara Severin, MD
Contact
sara.l.severin@regionstockholm.se
0046812356504

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 status unknown, as verified in May 2022. 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