CT Analysis Comparing Cast and Three-Point Indexes in Distal Radius Fracture Care

NCT ID: NCT06255106

Last Updated: 2024-02-12

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

Total Enrollment

113 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-02-01

Study Completion Date

2023-07-15

Brief Summary

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Objectives: To compare the cast index and three-point index measurements obtained using computed tomography (CT) with those acquired using conventional methods for treating distal radius fractures Design: A retrospective cohort study Setting: Level 1 trauma center Patients: One hundred and thirteen (45 men and 68 women) patients with distal radius fractures Interventions: Patients with distal radius fractures were retrospectively analyzed and received either conservative cast treatment or surgical intervention through open reduction and internal fixation between 2016 and 2022.

Main outcome measurements: The study evaluated the cast index and three-point index in the cast-treated group and their effectiveness using the Sarmiento index. Furthermore, radial height, volar tilt, and radial inclination were compared between the surgically treated and cast-treated groups.

Detailed Description

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Conditions

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Distal Radius Fractures

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Group 1

Group 1, consisting of individuals treated with a cast

cast treatment

Intervention Type OTHER

Surgical intervention vs cast treatment

Group 2

Group 2, comprising those who underwent surgical intervention (Open reduction volar plate fixation.

cast treatment

Intervention Type OTHER

Surgical intervention vs cast treatment

Interventions

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cast treatment

Surgical intervention vs cast treatment

Intervention Type OTHER

Other Intervention Names

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Open reduction volar plate fixation

Eligibility Criteria

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Inclusion Criteria

* Patients aged ≥18 years
* Diagnosed with distal radius fracture
* Treated with either cast or volar plate osteosynthesis were included in the study.

Exclusion Criteria

* Patients with multiple fractures in the same upper extremity
* Those treated with dorsal plates or external fixators
* Individuals with open fractures
* Patients with known systemic or rheumatologic diseases
* Those with cervical disk problems
* Individuals lacking post-cast removal CT data
* Patients with incomplete medical records were excluded.
Minimum Eligible Age

19 Years

Maximum Eligible Age

92 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Istanbul University

OTHER

Sponsor Role lead

Responsible Party

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Yasar Samet Gokceoglu

Principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Yaşar Samet Gökçeoğlu, MD

Role: PRINCIPAL_INVESTIGATOR

Istanbul University

Locations

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University

Istanbul, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Song J, Yu AX, Li ZH. Comparison of conservative and operative treatment for distal radius fracture: a meta-analysis of randomized controlled trials. Int J Clin Exp Med. 2015 Oct 15;8(10):17023-35. eCollection 2015.

Reference Type BACKGROUND
PMID: 26770293 (View on PubMed)

Kahraman HC, Sibar K, Alemdaroglu KB, Subasi IO, Gokgoz MB. Is three-point index reliable in the follow-up of the distal radius metaphys fractures in the pediatric age group? J Pediatr Orthop B. 2023 Jul 1;32(4):369-377. doi: 10.1097/BPB.0000000000001032. Epub 2022 Nov 14.

Reference Type BACKGROUND
PMID: 36377954 (View on PubMed)

Owen RA, Melton LJ 3rd, Johnson KA, Ilstrup DM, Riggs BL. Incidence of Colles' fracture in a North American community. Am J Public Health. 1982 Jun;72(6):605-7. doi: 10.2105/ajph.72.6.605.

Reference Type RESULT
PMID: 7072880 (View on PubMed)

Alemdaroglu KB, Iltar S, Aydogan NH, Say F, Kilinc CY, Tiftikci U. Three-point index in predicting redisplacement of extra-articular distal radial fractures in adults. Injury. 2010 Feb;41(2):197-203. doi: 10.1016/j.injury.2009.08.021. Epub 2009 Sep 26.

Reference Type RESULT
PMID: 19782974 (View on PubMed)

Hosseinzadeh P, Olson D, Eads R, Jaglowicz A, Goldfarb CA, Riley SA. Radiologic Evaluation of the Distal Radius Indices in Early And Late Childhood. Iowa Orthop J. 2018;38:137-140.

Reference Type RESULT
PMID: 30104936 (View on PubMed)

Other Identifiers

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DistalRadiuscast

Identifier Type: -

Identifier Source: org_study_id

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