Evaluating the Effectiveness of Remote Monitoring for Post-Operative Management of Distal Radius Fractures

NCT07219979 | Enrolling By Invitation

• 1 other identifier: 2127568
• Study Type: interventional
• Target: 160
• Locations: 1 country
• Sites: 1

Brief Summary

This randomized controlled trial evaluates whether remote monitoring can provide a safe and effective alternative to traditional in-person follow-up after surgical fixation of distal radius fractures. The study compares functional outcomes, patient satisfaction, and complication rates between patients who receive virtual follow-up care and those who attend standard in-person visits.

Conditions

Distal Radius Fracture; Distal Radius Fracture Fixation

Keywords

distal radius fracture; postoperative follow-up; remote monitoring; virtual care; orthopaedic surgery

Outcome Measures

Primary Outcomes (1)

• PROMIS Upper Extremity Score

  The PROMIS Upper Extremity (UE) Computer Adaptive Test assesses upper limb function, including strength, dexterity, and ability to perform daily activities. Scores range from 0 to 100, with higher scores indicating better function. The primary analysis will compare mean change in PROMIS UE scores from baseline (2 weeks post-operation) to 6 months post-operation

  Baseline and 6 months

Secondary Outcomes (5)

• PROMIS-29 Score

  Baseline and 6 months

• Ambulatory Patient Experience Score

  Baseline and 6 months

• Grip Strength

  Baseline and 6 months

• Wrist Range of Motion

  Baseline to 6 months

• Complication Rate

  From enrollment to the end of treatment at 6 months

Study Arms (2)

Remote Monitoring Follow-Up

EXPERIMENTAL

Participants in this arm will complete postoperative follow-up through a digital health platform. At 6 weeks, 3 months, and 6 months after surgery, they will complete electronic PROMs , measure grip strength using a dynamometer, and submit short wrist range-of-motion videos for remote evaluation. Participants will be instructed to contact the clinical team if any concerns arise.

Behavioral: Remote Monitoring Follow-Up

In-Person Standard Follow-Up

ACTIVE COMPARATOR

Participants in this arm will attend routine postoperative clinic visits at 6 weeks, 3 months, and 6 months, following standard of care for distal radius fracture management. At each visit, PROMs will be completed, and grip strength and range of motion will be measured by the clinical team. Care decisions and management will follow institutional standards for in-person postoperative evaluation

Behavioral: Standard In-Person Follow-Up

Interventions

Remote Monitoring Follow-Up BEHAVIORAL

Participants will complete postoperative assessments through a secure, HIPAA-compliant digital health platform.

Remote Monitoring Follow-Up

Standard In-Person Follow-Up BEHAVIORAL

Participants will attend routine in-person postoperative clinic visits.

In-Person Standard Follow-Up

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Adults 18 years old or older
• Operatively treated distal radius fracture
• Access to smartphone/computer.

You may not qualify if:

• Prior significant wrist/hand injury
• lack of internet access
• Surgeon determination that injury is not suitable for the trial

Sponsors & Collaborators

• University of Missouri-Columbia: lead

Study Sites (1)

University of Missouri - Columbia

Columbia, Missouri, 65212, United States

Location

MeSH Terms

Conditions

Wrist Fractures

Condition Hierarchy (Ancestors)

Wrist Injuries; Arm Injuries; Wounds and Injuries; Fractures, Bone

Study Officials

• Daniel A. London, MD

  University of Missouri-Columbia

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Model Details: Participants are randomly assigned to one of two distinct groups and each group receives its respective intervention throughout the study.

Study Record Dates

• First Submitted: October 20, 2025
• First Posted: October 23, 2025
• Study Start: April 8, 2026
• Primary Completion (Estimated): December 31, 2027
• Study Completion (Estimated): December 31, 2027
• Last Updated: April 23, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)