Effects of Ulnar Styloid and Sigmoid Notch Fractures on Postoperative Wrist Function of Distal Radius Fracture Patients

NCT ID: NCT03359278

Last Updated: 2017-12-02

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

UNKNOWN

Total Enrollment

139 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-04-01

Study Completion Date

2020-04-01

Brief Summary

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To study the effects of ulnar styloid and sigmoid notch fractures on postoperative wrist function in patients with distal radius fracture

Detailed Description

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Patients treated for distal radius fracture in the Department of Orthopedic Trauma at the People's Hospital of Peking University will be selected for outpatient follow-up. Evaluation was based on Sartiento's modification of the Gartland and Werley score. Efficacy was assessed with wrist pain as the focus.The follow-up time is one year after the operation。

Conditions

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Radius Fracture Distal

Keywords

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distal radius fracture, sigmoid notch

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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open reduction and internal fixation

The volar approach was used for open reduction and internal fixation of distal radius fractures

open reduction and internal fixation

Intervention Type PROCEDURE

The volar approach was used for open reduction and internal fixation of distal radius fractures

Interventions

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open reduction and internal fixation

The volar approach was used for open reduction and internal fixation of distal radius fractures

Intervention Type PROCEDURE

Other Intervention Names

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ORIF

Eligibility Criteria

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Inclusion Criteria

1. unilateral distal radius fracture with or without ulnar styloid fracture, closed fracture
2. distal radius fracture repaired by internal fixation using a palmar plate
3. age of ≥18 years
4. integral clinical data, a postoperative follow-up period of ≥12 months
5. distal radius fracture with normal union
6. provision of informed consent after receiving an explanation of the purpose of this study

Exclusion Criteria

1. old fracture, pathological fracture, open fracture
2. bilateral distal radius fracture
3. fracture of other parts of the wrist (excluding the ulnar styloid)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Peking University People's Hospital

OTHER

Sponsor Role lead

Responsible Party

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pengzhang

department of trauma and orthoppaedics

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Tianbing Wang, Doctor

Role: STUDY_DIRECTOR

Peking University People's Hospital

Central Contacts

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Peng Zhang, Doctor

Role: CONTACT

Phone: 08601088326550

Email: [email protected]

Yichong Zhang, Doctor

Role: CONTACT

Phone: 08601088326550

Email: [email protected]

References

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Kim JK, Yun YH, Kim DJ, Yun GU. Comparison of united and nonunited fractures of the ulnar styloid following volar-plate fixation of distal radius fractures. Injury. 2011 Apr;42(4):371-5. doi: 10.1016/j.injury.2010.09.020. Epub 2010 Oct 20.

Reference Type BACKGROUND
PMID: 20961540 (View on PubMed)

Bengner U, Johnell O. Increasing incidence of forearm fractures. A comparison of epidemiologic patterns 25 years apart. Acta Orthop Scand. 1985 Apr;56(2):158-60. doi: 10.3109/17453678508994345.

Reference Type BACKGROUND
PMID: 4013706 (View on PubMed)

Baratz ME, Des Jardins Jd, Anderson DD, Imbriglia JE. Displaced intra-articular fractures of the distal radius: the effect of fracture displacement on contact stresses in a cadaver model. J Hand Surg Am. 1996 Mar;21(2):183-8. doi: 10.1016/s0363-5023(96)80098-0.

Reference Type BACKGROUND
PMID: 8683044 (View on PubMed)

Orbay JL, Fernandez DL. Volar fixation for dorsally displaced fractures of the distal radius: a preliminary report. J Hand Surg Am. 2002 Mar;27(2):205-15. doi: 10.1053/jhsu.2002.32081.

Reference Type BACKGROUND
PMID: 11901379 (View on PubMed)

Sarmiento A, Pratt GW, Berry NC, Sinclair WF. Colles' fractures. Functional bracing in supination. J Bone Joint Surg Am. 1975 Apr;57(3):311-7.

Reference Type BACKGROUND
PMID: 1123382 (View on PubMed)

May MM, Lawton JN, Blazar PE. Ulnar styloid fractures associated with distal radius fractures: incidence and implications for distal radioulnar joint instability. J Hand Surg Am. 2002 Nov;27(6):965-71. doi: 10.1053/jhsu.2002.36525.

Reference Type BACKGROUND
PMID: 12457345 (View on PubMed)

Hauck RM, Skahen J 3rd, Palmer AK. Classification and treatment of ulnar styloid nonunion. J Hand Surg Am. 1996 May;21(3):418-22. doi: 10.1016/S0363-5023(96)80355-8.

Reference Type BACKGROUND
PMID: 8724472 (View on PubMed)

Tsai PC, Paksima N. The distal radioulnar joint. Bull NYU Hosp Jt Dis. 2009;67(1):90-6.

Reference Type BACKGROUND
PMID: 19302063 (View on PubMed)

Kim JK, Koh YD, Do NH. Should an ulnar styloid fracture be fixed following volar plate fixation of a distal radial fracture? J Bone Joint Surg Am. 2010 Jan;92(1):1-6. doi: 10.2106/JBJS.H.01738.

Reference Type BACKGROUND
PMID: 20048089 (View on PubMed)

Palmer AK, Werner FW. The triangular fibrocartilage complex of the wrist--anatomy and function. J Hand Surg Am. 1981 Mar;6(2):153-62. doi: 10.1016/s0363-5023(81)80170-0.

Reference Type BACKGROUND
PMID: 7229292 (View on PubMed)

Haugstvedt JR, Berger RA, Nakamura T, Neale P, Berglund L, An KN. Relative contributions of the ulnar attachments of the triangular fibrocartilage complex to the dynamic stability of the distal radioulnar joint. J Hand Surg Am. 2006 Mar;31(3):445-51. doi: 10.1016/j.jhsa.2005.11.008.

Reference Type BACKGROUND
PMID: 16516740 (View on PubMed)

Kramer S, Meyer H, O'Loughlin PF, Vaske B, Krettek C, Gaulke R. The incidence of ulnocarpal complaints after distal radial fracture in relation to the fracture of the ulnar styloid. J Hand Surg Eur Vol. 2013 Sep;38(7):710-7. doi: 10.1177/1753193412469582. Epub 2012 Dec 6.

Reference Type BACKGROUND
PMID: 23221179 (View on PubMed)

Zenke Y, Sakai A, Oshige T, Moritani S, Nakamura T. The effect of an associated ulnar styloid fracture on the outcome after fixation of a fracture of the distal radius. J Bone Joint Surg Br. 2009 Jan;91(1):102-7. doi: 10.1302/0301-620X.91B1.21026.

Reference Type BACKGROUND
PMID: 19092013 (View on PubMed)

Buijze GA, Ring D. Clinical impact of United versus nonunited fractures of the proximal half of the ulnar styloid following volar plate fixation of the distal radius. J Hand Surg Am. 2010 Feb;35(2):223-7. doi: 10.1016/j.jhsa.2009.10.035. Epub 2010 Jan 15.

Reference Type BACKGROUND
PMID: 20079580 (View on PubMed)

Vitale MA, Brogan DM, Shin AY, Berger RA. Intra-articular Fractures of the Sigmoid Notch of the Distal Radius: Analysis of Progression to Distal Radial Ulnar Joint Arthritis and Impact on Upper Extremity Function in Surgically Treated Fractures. J Wrist Surg. 2016 Mar;5(1):52-8. doi: 10.1055/s-0035-1570742. Epub 2016 Jan 6.

Reference Type BACKGROUND
PMID: 26855837 (View on PubMed)

Other Identifiers

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CSG-wrist201702

Identifier Type: -

Identifier Source: org_study_id