Closed Reduction of Distal Forearm Fractures by Pediatric Emergency Medicine Physicians: A Prospective Study
NCT ID: NCT01101607
Last Updated: 2010-04-12
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
104 participants
INTERVENTIONAL
2008-04-30
2010-04-30
Brief Summary
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The primary objective of this study is to compare length-of-stay and clinical outcomes after closed manipulation of uncomplicated, isolated, distal forearm fractures, by PEMs to those after manipulation by pediatric orthopedic surgeons. Our hypothesis is that there is no difference in emergency department length-of-stay when fracture reduction is performed by a PEM versus a post graduate year 3 or 4 orthopedic resident. Secondary outcomes that will be assessed include: loss of reduction needing re-manipulation at follow up, cast related complications, radiographic and functional healing at 6-8 weeks post injury.
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Detailed Description
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Pershad et al conducted a retrospective study with historical controls, of 60 patients with distal radius fracture that were reduced by an orthopedic resident or PEM physician. In this review, there were no differences in rates of re-intervention to restore fracture alignment or ED length-of-stay between the two groups.Mean facility charges were lower in the group treated by PEMs.
It is our hypothesis that with goal directed training, PEM physicians can perform closed reduction of uncomplicated distal forearm fractures with outcomes that are similar to when fracture reduction is performed by senior orthopedic resident physicians.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
HEALTH_SERVICES_RESEARCH
SINGLE
Study Groups
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Pediatric Emergency Physician
Patients randomized to Pediatric Emergency Physician Group will have their fracture reduced by a Pediatric Emergency Physician
Distal Forearm Fracture Reduction
Fracture reduction
Orthopaedic physician
Patients to be randomized to Orthopaedic physician Group will have their fracture reduced by an Orthopaedic Physician
Distal Forearm Fracture Reduction
Fracture reduction
Interventions
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Distal Forearm Fracture Reduction
Fracture reduction
Eligibility Criteria
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Exclusion Criteria
6 Months
18 Years
ALL
No
Sponsors
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University of Tennessee
OTHER
Le Bonheur Children's Hospital
OTHER
Campbell Clinic
OTHER
InMotion Orthopaedic Research Center
OTHER
Responsible Party
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InMotion Orthopaedic Research Center
Principal Investigators
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Jay Pershad, MD
Role: STUDY_DIRECTOR
University of Tennessee Health Sciences
Shehma Khan, MD
Role: PRINCIPAL_INVESTIGATOR
University of Tennessee Health Sciences
Locations
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Lebonheur Medical Center
Memphis, Tennessee, United States
Countries
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References
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Ward WT, Eberson CP, Otis SA, Wallace CD, Wellisch M, Warman JR, Leitch KK, Epps HR, Richards BS. Pediatric orthopaedic practice management: the role of midlevel providers. J Pediatr Orthop. 2008 Dec;28(8):795-8. doi: 10.1097/BPO.0b013e318183249f. No abstract available.
Ward WT, Rihn JA. Demographic and financial implications of pediatric emergency department fracture manipulation. J Pediatr Orthop. 2007 Dec;27(8):877-81. doi: 10.1097/BPO.0b013e3181558c4d.
Pershad J, Williams S, Wan J, Sawyer JR. Pediatric distal radial fractures treated by emergency physicians. J Emerg Med. 2009 Oct;37(3):341-4. doi: 10.1016/j.jemermed.2008.08.030. Epub 2009 Feb 6.
Other Identifiers
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MHIRB 2008-006
Identifier Type: -
Identifier Source: org_study_id
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