NCT06678568

Brief Summary

The randomized controlled study which compare radiologic outcomes (loss of reduction rate) and complications in pediatric patients with displaced metaphyseal forearm fractures who underwent conservative treatment. The patients were assigned in two different follow-up protocols. In the control group, the patients will go to hospital for follow-up visit and film every week until 4th week after injury. In the intervention group, the patients will go to hospital for follow-up visit every week except in the 3rd week after injury they will be gotten telemedicine follow-up.

Trial Health

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Trial Health Score

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

Enrollment
72

participants targeted

Target at P50-P75 for not_applicable

Timeline
8mo left

Started Nov 2024

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
not yet recruiting

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 Progress70%
Nov 2024Dec 2026

First Submitted

Initial submission to the registry

November 5, 2024

Completed
Same day until next milestone

Study Start

First participant enrolled

November 5, 2024

Completed
2 days until next milestone

First Posted

Study publicly available on registry

November 7, 2024

Completed
2.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2026

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2026

Last Updated

November 12, 2024

Status Verified

November 1, 2024

Enrollment Period

2.2 years

First QC Date

November 5, 2024

Last Update Submit

November 7, 2024

Conditions

Keywords

metaphyseal forearm fractureloss of reductionfollow-up protocolwrist fracture

Outcome Measures

Primary Outcomes (1)

  • loss of reduction rate

    Angulation is more than 10 degree in coronal view or more than 20 degree in sagittal view

    From enrollment to the end of treatment at 4 weeks

Secondary Outcomes (1)

  • Complications

    From enrollment to the end of treatment at 4 weeks

Study Arms (2)

The standard follow-up protocol

NO INTERVENTION

follow-up and film every week at hospital

The optimized follow-up protocol

EXPERIMENTAL

follow-up and film every week at hospital except the 3rd week is telemedicine follow-up

Other: telemedicine follow-up in 3rd week

Interventions

Intervention group will be appointed with telemedicine follow-up in 3rd week after injury, instead of hospital follow-up visit.

The optimized follow-up protocol

Eligibility Criteria

AgeUp to 12 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • Age 0-12 years
  • Patients with distal metaphyseal forearm fractures in Ramathibodi hospital and Chakri Naruebodindra Medical Institute
  • Presented to hospital within 72 hours of injury

You may not qualify if:

  • Open fracture
  • Operative treatment at 1st visit
  • Neurovascular injury
  • Polytraumatized patient
  • Ipsilateral fracture of upper limb
  • History of previous surgery in the affected arm
  • Metabolic bone disease

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Faculty of Medicine Ramathibodi Hospital, Mahidol University

Ratchathewi, Bangkok, 10400, Thailand

Location

MeSH Terms

Conditions

Wrist Fractures

Condition Hierarchy (Ancestors)

Wrist InjuriesArm InjuriesWounds and InjuriesFractures, Bone

Central Study Contacts

Nonticha Thanthong, Doctor of medicine

CONTACT

Chanika Angsanuntsukh, Diploma of orthopaedics

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Sponsor Investigator

Study Record Dates

First Submitted

November 5, 2024

First Posted

November 7, 2024

Study Start

November 5, 2024

Primary Completion (Estimated)

December 31, 2026

Study Completion (Estimated)

December 31, 2026

Last Updated

November 12, 2024

Record last verified: 2024-11

Data Sharing

IPD Sharing
Will not share

Locations