Trial Outcomes & Findings for Use of Compression Glove to Prevent Complications After Distal Radius Fractures: a Randomized Controlled Trial (NCT NCT01118715)

NCT ID: NCT01118715

Last Updated: 2020-11-04

Results Overview

Confirmed cases of Post-traumatic Carpal Tunnel Syndrome (CTS) or Complex Regional Pain Syndrome (CRPS)

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

128 participants

Primary outcome timeframe

2 wks-24 wks

Results posted on

2020-11-04

Participant Flow

The initial protocol had 94 participants. Analysis was run, however, numbers were trending but not significant. Additional participants were then enrolled to increase the power of the study, leading to a larger participant number(128) than the study originally intended to have. There is no intention to continue enrolling subjects.

Participant milestones

Participant milestones
Measure
Compression Glove
Patients in this group have a compression glove incorporated into their splint for 2 weeks post-op, and wear a glove underneath their cast for 3 weeks. The patient then wears the glove at night after cast removal. Compression glove: A compression glove worn during recovery from distal radius fracture
Control
Patients in this group undergo standard recovery procedures. This includes a splint worn for 2 weeks post-op, followed by a short arm cast worn for the next 3 weeks.
Overall Study
STARTED
68
60
Overall Study
COMPLETED
68
60
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Compression Glove
n=68 Participants
Patients in this group have a compression glove incorporated into their splint for 2 weeks post-op, and wear a glove underneath their cast for 3 weeks. The patient then wears the glove at night after cast removal. Compression glove: A compression glove worn during recovery from distal radius fracture
Control
n=60 Participants
Patients in this group undergo standard recovery procedures. This includes a splint worn for 2 weeks post-op, followed by a short arm cast worn for the next 3 weeks.
Total
n=128 Participants
Total of all reporting groups
Age, Continuous
57 years
STANDARD_DEVIATION 19.9 • n=68 Participants
59.6 years
STANDARD_DEVIATION 15.3 • n=60 Participants
58.22 years
STANDARD_DEVIATION 18.00 • n=128 Participants
Sex: Female, Male
Female
57 Participants
n=68 Participants
46 Participants
n=60 Participants
103 Participants
n=128 Participants
Sex: Female, Male
Male
11 Participants
n=68 Participants
14 Participants
n=60 Participants
25 Participants
n=128 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Injured wrist
Right
30 Participants
n=68 Participants
32 Participants
n=60 Participants
62 Participants
n=128 Participants
Injured wrist
Left
38 Participants
n=68 Participants
28 Participants
n=60 Participants
66 Participants
n=128 Participants
Pain Scale
5.1 units on a scale
STANDARD_DEVIATION 2.7 • n=68 Participants
6.21 units on a scale
STANDARD_DEVIATION 12.7 • n=60 Participants
5.17 units on a scale
STANDARD_DEVIATION 2.95 • n=128 Participants

PRIMARY outcome

Timeframe: 2 wks-24 wks

Population: 'Number Analyzed' is broken down by group (Glove/No Glove) and time frame (2-24 weeks). The overall number of participants analyzed is not consistent with numbers provided in the participant flow module (total participants=128) because not all participants attended all follow-up appointments.

Confirmed cases of Post-traumatic Carpal Tunnel Syndrome (CTS) or Complex Regional Pain Syndrome (CRPS)

Outcome measures

Outcome measures
Measure
2 Weeks
n=123 Participants
Count of patients with a new CTS or CRPS diagnosis at 2 weeks post-surgery.
5 Weeks
n=116 Participants
Count of patients with a new CTS or CRPS diagnosis at 5 weeks post-surgery.
12 Weeks
n=100 Participants
Count of patients with a new CTS or CRPS diagnosis at 12 weeks post-surgery.
24 Weeks
n=86 Participants
Count of patients with a new CTS or CRPS diagnosis at 24 weeks post-surgery.
Incidence of Post-traumatic Carpal Tunnel Syndrome (CTS) or Complex Regional Pain Syndrome (CRPS)
No Glove · new dx of CTS or CRPS
0 Participants
4 Participants
4 Participants
0 Participants
Incidence of Post-traumatic Carpal Tunnel Syndrome (CTS) or Complex Regional Pain Syndrome (CRPS)
No Glove · no new dx of CTS or CRPS
58 Participants
52 Participants
44 Participants
47 Participants
Incidence of Post-traumatic Carpal Tunnel Syndrome (CTS) or Complex Regional Pain Syndrome (CRPS)
Glove · new dx of CTS or CRPS
0 Participants
1 Participants
2 Participants
0 Participants
Incidence of Post-traumatic Carpal Tunnel Syndrome (CTS) or Complex Regional Pain Syndrome (CRPS)
Glove · no new dx of CTS or CRPS
65 Participants
59 Participants
50 Participants
39 Participants

SECONDARY outcome

Timeframe: 2 wks- 24 weeks

Population: The overall number of participants analyzed is not consistent with numbers provided in the participant flow module (total participants=128) because not all participants attended all follow-up appointments. In addition, QAQC uncovered several cases of appointment records with missing or invalid data.

Circumference of Wrist/Finger by Glove or No Glove

Outcome measures

Outcome measures
Measure
2 Weeks
n=99 Participants
Count of patients with a new CTS or CRPS diagnosis at 2 weeks post-surgery.
5 Weeks
n=97 Participants
Count of patients with a new CTS or CRPS diagnosis at 5 weeks post-surgery.
12 Weeks
n=70 Participants
Count of patients with a new CTS or CRPS diagnosis at 12 weeks post-surgery.
24 Weeks
n=56 Participants
Count of patients with a new CTS or CRPS diagnosis at 24 weeks post-surgery.
Edema
Glove 4th Finger
5.56 centimeters
Standard Deviation .68
5.46 centimeters
Standard Deviation .68
5.50 centimeters
Standard Deviation .68
5.56 centimeters
Standard Deviation .71
Edema
No Glove - Wrist Circumference
18.09 centimeters
Standard Deviation 1.34
17.53 centimeters
Standard Deviation 1.36
16.98 centimeters
Standard Deviation 1.37
16.74 centimeters
Standard Deviation 1.24
Edema
Glove - Wrist Circumference
17.66 centimeters
Standard Deviation 1.46
16.98 centimeters
Standard Deviation 1.50
16.75 centimeters
Standard Deviation 1.60
17.01 centimeters
Standard Deviation 1.56
Edema
No Glove 1st Finger
6.94 centimeters
Standard Deviation .61
6.84 centimeters
Standard Deviation .59
6.59 centimeters
Standard Deviation .56
6.50 centimeters
Standard Deviation .44
Edema
Glove 1st Finger
6.61 centimeters
Standard Deviation .70
6.38 centimeters
Standard Deviation .66
6.57 centimeters
Standard Deviation .68
6.62 centimeters
Standard Deviation .79
Edema
No Glove 2nd Finger
6.77 centimeters
Standard Deviation .64
6.67 centimeters
Standard Deviation .61
6.37 centimeters
Standard Deviation .56
6.28 centimeters
Standard Deviation .41
Edema
Glove 2nd Finger
6.47 centimeters
Standard Deviation .72
6.20 centimeters
Standard Deviation .70
6.31 centimeters
Standard Deviation .73
6.43 centimeters
Standard Deviation .83
Edema
No Glove 3rd Finger
6.29 centimeters
Standard Deviation .58
6.31 centimeters
Standard Deviation .62
5.99 centimeters
Standard Deviation .52
5.84 centimeters
Standard Deviation .41
Edema
Glove 3rd Finger
6.09 centimeters
Standard Deviation .69
5.86 centimeters
Standard Deviation .69
5.85 centimeters
Standard Deviation .73
5.98 centimeters
Standard Deviation .76
Edema
No Glove 4th Finger
5.71 centimeters
Standard Deviation .51
5.82 centimeters
Standard Deviation .53
5.58 centimeters
Standard Deviation .50
5.45 centimeters
Standard Deviation .41

SECONDARY outcome

Timeframe: 2 wks-24 wks

Population: The overall number of participants analyzed is not consistent with numbers provided in the participant flow module (total participants=128) because not all participants attended all follow-up appointments. In addition, QAQC uncovered several cases of appointment records with missing or invalid data. Flexion data missing for 3 subjects and extension data missing for 1 subject at 2 wk visit.

Count of participants (by group) that were capable or full extension or flexion at each encounter.

Outcome measures

Outcome measures
Measure
2 Weeks
n=98 Participants
Count of patients with a new CTS or CRPS diagnosis at 2 weeks post-surgery.
5 Weeks
n=97 Participants
Count of patients with a new CTS or CRPS diagnosis at 5 weeks post-surgery.
12 Weeks
n=70 Participants
Count of patients with a new CTS or CRPS diagnosis at 12 weeks post-surgery.
24 Weeks
n=56 Participants
Count of patients with a new CTS or CRPS diagnosis at 24 weeks post-surgery.
Range of Motion
No Glove - Full Flexion
24 Participants
25 Participants
32 Participants
28 Participants
Range of Motion
Glove - Full Flexion
20 Participants
31 Participants
34 Participants
26 Participants
Range of Motion
No Glove - Full Extension
45 Participants
44 Participants
33 Participants
29 Participants
Range of Motion
Glove - Full Extension
44 Participants
47 Participants
35 Participants
26 Participants

SECONDARY outcome

Timeframe: 5 wks-24 wks

Population: The overall number of participants analyzed is not consistent with numbers provided in the participant flow module (total participants=128) because not all participants attended all follow-up appointments. In addition, QAQC uncovered several cases of appointment records with missing or invalid data.

Grip strength measured using a hand dynamometer at each visit except @ 2-weeks; grip strength was not measured at 2-weeks because of post-op activity restrictions recommended by the treating physician

Outcome measures

Outcome measures
Measure
2 Weeks
n=116 Participants
Count of patients with a new CTS or CRPS diagnosis at 2 weeks post-surgery.
5 Weeks
n=100 Participants
Count of patients with a new CTS or CRPS diagnosis at 5 weeks post-surgery.
12 Weeks
n=86 Participants
Count of patients with a new CTS or CRPS diagnosis at 12 weeks post-surgery.
24 Weeks
Count of patients with a new CTS or CRPS diagnosis at 24 weeks post-surgery.
Grip Strength
No Glove
6.83 kg
Standard Deviation 6.14
17.79 kg
Standard Deviation 9.17
20.73 kg
Standard Deviation 11.69
Grip Strength
Glove
7.39 kg
Standard Deviation 6.04
18.10 kg
Standard Deviation 10.44
23.45 kg
Standard Deviation 10.28

SECONDARY outcome

Timeframe: 2 wks- 24 wks

Population: The overall number of participants analyzed is not consistent with numbers provided in the participant flow module (total participants=128) because not all participants attended all follow-up appointments. In addition, QAQC uncovered several cases of appointment records with missing or invalid data.

Disabilities of the Arm, Shoulder and Hand questionnaire (DASH) is 30-item questionnaire designed to quanitfy functional outcomes of the upper extremity and measure symptoms of pain, physical, emotional, and social domains associated with musculoskeletal disorders of the upper limb. Scores can range from 0-100 with 0 indicating NO disability and 100 indicating extreme disability.

Outcome measures

Outcome measures
Measure
2 Weeks
n=123 Participants
Count of patients with a new CTS or CRPS diagnosis at 2 weeks post-surgery.
5 Weeks
n=116 Participants
Count of patients with a new CTS or CRPS diagnosis at 5 weeks post-surgery.
12 Weeks
n=100 Participants
Count of patients with a new CTS or CRPS diagnosis at 12 weeks post-surgery.
24 Weeks
n=86 Participants
Count of patients with a new CTS or CRPS diagnosis at 24 weeks post-surgery.
DASH Score
No Glove
58.12 score on a scale
Standard Deviation 22.11
39.52 score on a scale
Standard Deviation 21.18
20.51 score on a scale
Standard Deviation 17.24
11.50 score on a scale
Standard Deviation 14.28
DASH Score
Glove
62.14 score on a scale
Standard Deviation 19.75
44.98 score on a scale
Standard Deviation 22.30
16.42 score on a scale
Standard Deviation 16.54
10.32 score on a scale
Standard Deviation 14.53

SECONDARY outcome

Timeframe: 2 wks- 24 wks

Population: The overall number of participants analyzed is not consistent with numbers provided in the participant flow module (total participants=128) because not all participants attended all follow-up appointments. In addition, QAQC uncovered several cases of appointment records with missing or invalid data.

Assessment of pain using a numerical rating scale of 0-10, where 0=no pain and 10=worst possible pain

Outcome measures

Outcome measures
Measure
2 Weeks
n=123 Participants
Count of patients with a new CTS or CRPS diagnosis at 2 weeks post-surgery.
5 Weeks
n=116 Participants
Count of patients with a new CTS or CRPS diagnosis at 5 weeks post-surgery.
12 Weeks
n=100 Participants
Count of patients with a new CTS or CRPS diagnosis at 12 weeks post-surgery.
24 Weeks
n=86 Participants
Count of patients with a new CTS or CRPS diagnosis at 24 weeks post-surgery.
Pain on Numerical Rating Scale
No Glove
2.93 units on a scale
Standard Deviation 2.03
2.42 units on a scale
Standard Deviation 2.11
1.32 units on a scale
Standard Deviation 1.61
.81 units on a scale
Standard Deviation 1.06
Pain on Numerical Rating Scale
Glove
3.24 units on a scale
Standard Deviation 2.31
1.75 units on a scale
Standard Deviation 1.57
1.03 units on a scale
Standard Deviation 1.48
.73 units on a scale
Standard Deviation 1.08

Adverse Events

Compression Glove

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Michael Shuler

Athens Orthopedic Clinic

Phone: 706-549-1663

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place