Cast-OFF Trial: One Versus 4 to 5 Weeks of Plaster Cast Immobilization for Nonreduced Distal Radius Fractures: A Randomized Clinical Feasibility Trial
| Autor: | Emily Z Boersma, Edo J. Hekma, Michael J. R. Edwards, Nicole Kraaijvanger, Roland M. H. G. Mollen, Maria W.G. Nijhuis-van der Sanden |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
business.industry
Dentistry Radius Pain management Wrist Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] Nonoperative treatment Reconstructive and regenerative medicine Radboud Institute for Molecular Life Sciences [Radboudumc 10] medicine.anatomical_structure medicine Cast immobilization Orthopedics and Sports Medicine Surgery business |
| Zdroj: | Hand, 17, 60s-69s Hand, 17, 1_suppl, pp. 60s-69s |
| ISSN: | 1558-9447 |
| Popis: | Background Distal radius fracture is a common fracture of which the incidence appears to be increasing worldwide. This pilot study investigated whether 1 week of plaster cast is feasible for nonreduced (stable fractures including nondisplaced and displaced fractures) distal radius fractures. Methods The study was a multicenter randomized clinical feasibility trial including patients from regional acute care providers. Patients with a nonreduced distal radius fracture were included in the study. Nonreduced fractures meant intra-articular or extra-articular fractures and including nondisplaced and minimal displaced fractures (dorsal angulation less than 5°-10°, maximum radial shortening of 2 mm, and maximum radial shift of 2 mm) not needing a reduction. Forty Patients were included and randomized. After 1 week of plaster cast, patients were randomized to 1 of the 2 treatment groups: plaster cast removed (intervention group) versus 4 to 5 weeks of plaster cast (control group). Results The analysis shows no significant differences between the 2 groups in having less pain, better function after 6 weeks, and better overall patient satisfaction. No difference was shown in secondary displacement between the 2 groups (control 1 vs intervention 0) Conclusion One week of plaster cast treatment for nonreduced distal radius fracture is feasible, preferred by patients, with at least the same functional outcome and pain scores. Level of Evidence According to the Oxford 2011 level of evidence, the level of evidence of this study is 2. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|