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RecruitingNCT06019585Updated Aug 31, 2023

Inmobilization With Compression Bandage vs Antebraquial Splint in Distal Radius Fractures

An interventional study of Splint inmmobilization and Bandage immovilization in Distal Radius Fractures and Internal Fixation; Complications, Mechanical, sponsored by Hospital Costa del Sol. Recruiting at 2 sites in Spain. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2023-08-31.

Sponsored by Hospital Costa del Sol · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 2 years 1 month after the study started (first participant enrolled Jun 2021, registered Jul 2023).
  • Started Jun 2021; still recruiting 5 years 4 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The aim of this study is to compare functional and radiological results in two groups of distal radius fractures treated with internal fixation with locking plate, and immobilized with antebrachial splint or compression bandage for 3 weeks.

Read the detailed description

The aim of the study is to compare functional and radiological results as well as to evaluate possible complications in distal radius fractures operated by open reduction and internal fixation with volar locking plate in two groups , one treated with immobilization using a forearm cast for 3 weeks and the other with immobilization using a compression bandage for 3 weeks, based on the hypothesis that compression bandage group could obtain better results in the short term, and none of the treatments is superior to the other after 3 or 6 months of evolution, as indicated by some reviewed studies.

02

Conditions studied

  • Distal Radius Fractures
  • Internal Fixation; Complications, Mechanical

Keywords

  • distal radius fractures
  • volar plate
  • internal fixation
  • Inmobilization
03

In context

Fractures, Bone

2,261 studies on the registry are indexed under Fractures, Bone; 325 are open to participants now.

This study's planned enrollment of 120 is above the median of 69 across 1,482 interventional studies indexed under Fractures, Bone.

Browse Fractures, Bone studies →

Lead sponsor

Hospital Costa del Sol is the lead sponsor of 4 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients with type A, B, C fractures of AO classification of distal radius fractures
  • Patents aged between 18 and 75 years,
  • Patients operated on in the first 3 weeks after the trauma, and independent for the basic activities of daily living

Exclusion criteria

Exclusion Criteria:

  • Patients with open fractures
  • Patients with mental disorders (dementia, alcoholism, etc.),
  • Patient dependent for basic activities of daily living
  • Patients with fractures with severe articular and metaphyseal comminution and/or severe soft tissue injuries (type 2R3C3 AO),
  • Patients with previous diseases or anatomical alterations in the injured wrist (previous fractures, rheumatoid arthritis, etc.).
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
120 participants (estimated)

Study arms

  • Active comparator
    Splint inmmobilization

    Distal radius fractures fixed with volar locking plate and immobilized with an antebrachial splint for 3 weeks

    Device: Splint inmmobilization

  • Active comparator
    Bandage immovilization

    Distal radius fractures fixed with volar locking plate and immobilized with a compressive bandage for 3 weeks

    Device: Bandage immovilization

Interventions

  • DeviceSplint inmmobilization

    After internal fixation with volar locking plate, groups of distal radius fractures are inmobilized with a plaster splint of París for 3 weeks

  • DeviceBandage immovilization

    After internal fixation with volar locking plate, groups of distal radius fractures are inmobilized with compressive bandage for 3 weeks

06

What researchers measure

Primary outcomes

  1. Pain in Visual Analogue Scale.

    Points from 1 to 10. Higher score: worse value. Lower score: better value.

    Time frame: 1 year

  2. Function in Patient Rated Wrist Evaluation Scale.

    Points from 1 to 100. Higher score: worse value. Lower score: better value.

    Time frame: 1 year

  3. Range Of Motion in Flexion.

    Grades from 0 to 70. Higher score: better value. Lower score: worse value.

    Time frame: 1 year

  4. Range Of Motion in Flexion.

    Grades from 0 to 80. Higher score: better value. Lower score: worse value.

    Time frame: 1 year

Secondary outcomes

  1. Function in Disabilities of Arm, Shoulder and Hand Scale.

    Points from 1 to 150. Higher score: worse value. Lower score: better value

    Time frame: 1 year

  2. Function in Mayo Wrist Score Scale.

    Points from 1 to 100. Higher score: worse value. Lower score: better value.

    Time frame: 1 year

  3. Range of motion in Supination.

    Grades from 0 to 90. Higher score: better value. Lower score: worse value.

    Time frame: 1 year

  4. Number of participants with posoperative complications.

    Number of participants per group that suffer some complication or side effect during the follow-up period. Higher number of complications: worse value.

    Time frame: 1 year

  5. Number of posoperative Fisiotherapy sessions performed.

    Number of sessions per participant from 1 to 100. Higher score: worse value. Lower score: better value.

    Time frame: 1 year

  6. Time of fracture union in radiographs.

    Number of Weeks from 1 to 12. Higher score: worse value. Lower score: better value.

    Time frame: 12 weeks

  7. Number of Instability distal radius fracture Criteria per participant.

    Number of criteria from 1 to 6. Higher score: worse value. Lower score: better value.

    Time frame: 1 year

  8. Grades of Dorsal Displacement in fracture.

    Grades from -10 to 30 grades. Higher score: worse value. Lower score: better value.

    Time frame: 6 weeks

  9. Range of motion in Pronation.

    Grades from 0 to 90. Higher score: better value. Lower score: worse value.

    Time frame: 1 year

  10. Range of motion in Radial Deviation

    Grades from 0 to 15. Higher score: better value. Lower score: worse value.

    Time frame: 1 year

  11. Range of motion in Ulnar deviation.

    Grades from 0 to 30. Higher score: better value. Lower score: worse value.

    Time frame: 1 year

  12. Number of shortening millimeters in fracture.

    Number of millimeters from 0-10. Higher score: worse value. Lower score: better value.

    Time frame: 6 weeks

  13. Number of ulnar variance millimeters in fracture.

    Number of millimeters from -2 to +4. Higher score: worse value. Lower score: better value.

    Time frame: 6 weeks

  14. Number of step-off millimeters in fracture.

    Number of millimeters from 0 to 4 mm. Higher score: worse value. Lower score: better value.

    Time frame: 6 weeks

07

Study locations

2 of 2 sites recruiting
  • Hospital Reina Sofía
    Córdoba, 14004, Spain
    Recruiting
  • Hospital Costa del Sol
    Málaga, 29603, Spain
    • Francisco Rivas, Phd · Sub investigator
    Recruiting
08

References and documents

Publications

  • Delft EAKV, Gelder TGV, Vries R, Vermeulen J, Bloemers FW. Duration of Cast Immobilization in Distal Radial Fractures: A Systematic Review. J Wrist Surg. 2019 Oct;8(5):430-438. doi: 10.1055/s-0039-1683433. Epub 2019 Mar 18. PubMed 31579555 ↗
  • Quadlbauer S, Pezzei C, Jurkowitsch J, Kolmayr B, Keuchel T, Simon D, Hausner T, Leixnering M. Early Rehabilitation of Distal Radius Fractures Stabilized by Volar Locking Plate: A Prospective Randomized Pilot Study. J Wrist Surg. 2017 May;6(2):102-112. doi: 10.1055/s-0036-1587317. Epub 2016 Aug 5. PubMed 28428911 ↗
  • Toemen A, Collocott S, Heiss-Dunlop W. Short Term Outcomes Following Open Reduction Internal Fixation Surgery for a Distal Radius Fracture: 2 Week Versus 4 Week Immobilization. A Retrospective Analysis. Geriatr Orthop Surg Rehabil. 2021 Mar 25;12:21514593211004528. doi: 10.1177/21514593211004528. eCollection 2021. PubMed 35186419 ↗
  • Klein SM, Prantl L, Koller M, Vykoukal J, Dolderer JH, Graf S, Nerlich M, Loibl M, Geis S. Evidence based postoperative treatment of distal radius fractures following internal locking plate fixation. Acta Chir Orthop Traumatol Cech. 2015;82(1):33-40. PubMed 25748659 ↗
  • Lichtman DM, Bindra RR, Boyer MI, Putnam MD, Ring D, Slutsky DJ, Taras JS, Watters WC 3rd, Goldberg MJ, Keith M, Turkelson CM, Wies JL, Haralson RH 3rd, Boyer KM, Hitchcock K, Raymond L; American Academy of Orthopaedic Surgeons. American Academy of Orthopaedic Surgeons clinical practice guideline on: the treatment of distal radius fractures. J Bone Joint Surg Am. 2011 Apr 20;93(8):775-8. doi: 10.2106/JBJS.938ebo. No abstract available. PubMed 21508285 ↗
  • Valdes K, Naughton N, Michlovitz S. Therapist supervised clinic-based therapy versus instruction in a home program following distal radius fracture: a systematic review. J Hand Ther. 2014 Jul-Sep;27(3):165-73; quiz 174. doi: 10.1016/j.jht.2013.12.010. Epub 2014 Jan 3. PubMed 24508093 ↗
  • Driessens S, Diserens-Chew T, Burton C, Lassig E, Hartley C, McPhail S. A retrospective cohort investigation of active range of motion within one week of open reduction and internal fixation of distal radius fractures. J Hand Ther. 2013 Jul-Sep;26(3):225-30; quiz 231. doi: 10.1016/j.jht.2013.05.002. Epub 2013 Jun 14. PubMed 23770202 ↗
  • Koval K, Haidukewych GJ, Service B, Zirgibel BJ. Controversies in the management of distal radius fractures. J Am Acad Orthop Surg. 2014 Sep;22(9):566-75. doi: 10.5435/JAAOS-22-09-566. PubMed 25157038 ↗
  • Lozano-Calderon SA, Souer S, Mudgal C, Jupiter JB, Ring D. Wrist mobilization following volar plate fixation of fractures of the distal part of the radius. J Bone Joint Surg Am. 2008 Jun;90(6):1297-304. doi: 10.2106/JBJS.G.01368. PubMed 18519324 ↗
  • Meinberg EG, Agel J, Roberts CS, Karam MD, Kellam JF. Fracture and Dislocation Classification Compendium-2018. J Orthop Trauma. 2018 Jan;32 Suppl 1:S1-S170. doi: 10.1097/BOT.0000000000001063. No abstract available. PubMed 29256945 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 31, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06019585
Lead sponsor
Hospital Costa del Sol
Responsible party
Sponsor
First posted
Aug 31, 2023
Start date
Jun 1, 2021
Primary completion
Dec 30, 2026 (estimated)
Completion
Dec 30, 2026 (estimated)
Last update
Aug 31, 2023

Study contacts

Jose Ignacio Miró Jiménez, MD
Contact
ppnxmj89@gmail.com
+34 674501958
Alberto Izquierdo Fernández, Phd
Contact
alberto.izquierdo.fer@hotmail.com
+34 667789977
Alberto Izquierdo Fernández, Phd
study director · Hospital Reina Sofía ( Córdoba, Spain)

Oversight

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

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