NCT03186963

Brief Summary

The purpose of this study is to determine wether postoperative immobilization is effective in controlling the pain of patients with intra-articular distal radius fractures treated with volar locking plate fixation. The study hypotheses is that postoperative immobilization does not enhance the analgesia of these patients.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
39

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started May 2013

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

May 1, 2013

Completed
3.7 years until next milestone

First Submitted

Initial submission to the registry

January 19, 2017

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2017

Completed
13 days until next milestone

First Posted

Study publicly available on registry

June 14, 2017

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2017

Completed
Last Updated

March 16, 2018

Status Verified

March 1, 2018

Enrollment Period

4.1 years

First QC Date

January 19, 2017

Last Update Submit

March 14, 2018

Conditions

Keywords

distal radius fracturevolar plateimmobilization

Outcome Measures

Primary Outcomes (5)

  • Level of pain

    Visual analogue scale for pain

    12 hours

  • Level of pain

    Visual analogue scale for pain

    18 hours

  • Level of pain

    Visual analogue scale for pain

    24 hours

  • Level of pain

    Visual analogue scale for pain

    Once a day in the first week

  • Level of pain

    Visual analogue scale for pain

    2 weeks

Secondary Outcomes (16)

  • Level of pain

    6 weeks

  • Level of pain

    3 months

  • Level of pain

    6 months

  • DASH score

    6 weeks

  • DASH score

    3 months

  • +11 more secondary outcomes

Study Arms (2)

No immobilization

EXPERIMENTAL

Patients receive a conventional dressing made with gauze, cotton padding and inelastic bandage after the surgery. They are instructed to start light wrist movements on the first postoperative day and progress as tolerated, beginning rehabilitation with physiotherapy after 2 weeks postoperatively.

Procedure: No immobilization

Volar splint

ACTIVE COMPARATOR

Patients receive a volar plaster splint with inelastic bandage after the surgery, and are instructed not to remove the immobilization for 2 weeks. After this period, the immobilization is removed and patients begin rehabilitation with physiotherapy.

Procedure: Volar splint

Interventions

Conventional wrist dressing

No immobilization
Volar splintPROCEDURE

Volar plaster splint

Volar splint

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Intra-articular distal radius fracture treated with volar locking plate fixation;
  • Fracture occurred within the prior 30 days;
  • Consent to participate in the study

You may not qualify if:

  • Concomitant fracture of the ipsilateral upper limb
  • Previous lesion of the ipsilateral upper limb with functional deficit
  • Bilateral fracture
  • Concomitant neurologic injury
  • Patient not amenable to follow-up

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Institute of Orthopedics and Traumatology - University of Sao Paulo

São Paulo, São Paulo, 05403010, Brazil

Location

MeSH Terms

Conditions

Wrist Fractures

Condition Hierarchy (Ancestors)

Wrist InjuriesArm InjuriesWounds and InjuriesFractures, Bone

Study Officials

  • Kodi E Kojima, MD

    Institute of Orthopedics - University of Sao Paulo

    STUDY CHAIR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

January 19, 2017

First Posted

June 14, 2017

Study Start

May 1, 2013

Primary Completion

June 1, 2017

Study Completion

November 1, 2017

Last Updated

March 16, 2018

Record last verified: 2018-03

Data Sharing

IPD Sharing
Will not share

Locations