Comparing Forearm and Upper Arm Combi Cast for Distal Forearm Fractures in Children

NCT ID: NCT03297047

Last Updated: 2019-09-17

Study Results

Results pending

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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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-10-02

Study Completion Date

2019-08-29

Brief Summary

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The standard treatment for children with closed reduction of displaced distal forearm fractures is an immobilization with an upper arm combicast. The hypothesis is that an forearm immobilization with combicast in children 4-16 years might be sufficient.

Detailed Description

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Children with distal radial or forearm fractures needing closed reduction are eligible for this study. By drawing lots either an immobilization with an upper arm or forearm combicast will be performed. Regular controls after 5, 10, 28 days, 4 weeks and 7 weeks will be performed to check the rate of displacement, consolidation time, wearing comfort and movement of the elbow joint after taking off the cast.

Conditions

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Salter-Harris Type I Salter-Harris Type 2 Radius Fractures Forearm Fracture

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

one Group with upper arm cast one Group with forearm cast
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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upper arm combi cast

standardized treatment

Group Type ACTIVE_COMPARATOR

combi cast

Intervention Type DEVICE

upper arm or forearm combi cast

forearm combi cast

Treatment with a forearm combi cast should be a sufficient immobilization

Group Type EXPERIMENTAL

combi cast

Intervention Type DEVICE

upper arm or forearm combi cast

Interventions

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combi cast

upper arm or forearm combi cast

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* open growth Zone
* displaced metaphyseal radial or forearm fractures including Salter harris fracture 1 and 2 which require closed reduction
* written informed consent

Exclusion Criteria

* intraarticular fractures
* open fractures
* unstable fractures
Minimum Eligible Age

4 Years

Maximum Eligible Age

16 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Children's Hospital, Zurich

OTHER

Sponsor Role lead

Responsible Party

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Georg Staubli

Dr. med.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Georg Staubli, Dr. med

Role: PRINCIPAL_INVESTIGATOR

Emergency department, University Children's Hospital Zurich

Locations

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Children's Hospital

Zurich, , Switzerland

Site Status

Countries

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Switzerland

References

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Paneru SR, Rijal R, Shrestha BP, Nepal P, Khanal GP, Karn NK, Singh MP, Rai P. Randomized controlled trial comparing above- and below-elbow plaster casts for distal forearm fractures in children. J Child Orthop. 2010 Jun;4(3):233-7. doi: 10.1007/s11832-010-0250-1. Epub 2010 Mar 17.

Reference Type BACKGROUND
PMID: 21629372 (View on PubMed)

Webb GR, Galpin RD, Armstrong DG. Comparison of short and long arm plaster casts for displaced fractures in the distal third of the forearm in children. J Bone Joint Surg Am. 2006 Jan;88(1):9-17. doi: 10.2106/JBJS.E.00131.

Reference Type BACKGROUND
PMID: 16391244 (View on PubMed)

Boyer BA, Overton B, Schrader W, Riley P, Fleissner P. Position of immobilization for pediatric forearm fractures. J Pediatr Orthop. 2002 Mar-Apr;22(2):185-7.

Reference Type BACKGROUND
PMID: 11856927 (View on PubMed)

Bhatia M, Housden PH. Re-displacement of paediatric forearm fractures: role of plaster moulding and padding. Injury. 2006 Mar;37(3):259-68. doi: 10.1016/j.injury.2005.10.002. Epub 2006 Jan 18.

Reference Type BACKGROUND
PMID: 16414049 (View on PubMed)

Katz K, Weigl D, Becker T, Attias J, Bar-On E. Short-term after-effect of forearm cast removal in children. J Orthop Sci. 2011 May;16(3):283-5. doi: 10.1007/s00776-011-0054-2. Epub 2011 Mar 29.

Reference Type BACKGROUND
PMID: 21590522 (View on PubMed)

Seiler M, Heinz P, Callegari A, Dreher T, Staubli G, Aufdenblatten C. Short and long-arm fiberglass cast immobilization for displaced distal forearm fractures in children: a randomized controlled trial. Int Orthop. 2021 Mar;45(3):759-768. doi: 10.1007/s00264-020-04800-w. Epub 2020 Sep 17.

Reference Type DERIVED
PMID: 32940750 (View on PubMed)

Other Identifiers

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Forearm combi cast 2016

Identifier Type: -

Identifier Source: org_study_id

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