A Study Evaluating Splinting and Casting for Distal Radius Fractures in the Elderly

Status unconfirmed · Not applicable

Conditions studied: Distal Radius Fracture

In brief

Distal radial fractures are the most common fracture of the upper extremity in adults, with a higher incidence in those 65 years of age or older. In 2009, Karl et al demonstrated that there are 25.42 distal radial fractures in this age group per 10,000 person-years in the US. Despite the frequency of distal radius fractures, there is still debate over the best method of treatment. In contrast to younger patients, patients who are 65 years or older appear to have acceptable functional outcomes and treatment satisfaction regardless of the presence of malalignment on radiographic imaging.Therefore, nonsurgical management has been shown to be a viable treatment option. The purpose of this study is to compare non-operative treatment with a removable splint versus a short arm cast for distal radial fractures in patients who are 65 years of age or older who are indicated for non-operative fracture treatment.

Key facts

Study ID

NCT04632745

Run by

Rothman Institute Orthopaedics

People needed

110

Starts

2020-11-15

Expected to finish

2021-10-31

Last updated by the study team

2020-11-17

Who can join

Age: 65 and older. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• Patients greater than 65 years old with isolated distal radius fracture amenable to non-operative treatment

You may not qualify if…

• Patients younger than 65 years old
• Open fractures (Gustilo Grade 2 or 3)
• Pathologic fractures
• Multiple fractures in the upper or lower extremities
• Fracture indicated for surgical repair of the distal radius for any reason
• Lack of health insurance
• Inability to provide consent to the study

Where it is running

• Rothman Orthopaedic Institute — Philadelphia, Pennsylvania, United States

Full record on ClinicalTrials.gov

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