Casting Versus Flexible Intramedullary Nailing in Displaced Pediatric Forearm Shaft Fractures
Recruiting now · Not applicable
Conditions studied: Both Bone Forearm Fracture, AO Classification 22D/2.1-5.2, 7-12 Year Old
In brief
The forearm is the most common fracture location in children, with an increasing incidence. Displaced forearm shaft fractures have traditionally been treated with closed reduction and cast immobilization. Diaphyseal fractures in children have poor remodeling capacity, and malunion can thus cause permanent cosmetic and functional disability. Internal fixation especially with flexible intramedullary nails has gained increasing popularity, without evidence of a better outcome compared to closed reduction and cast immobilization.
Key facts
- Study ID
- NCT04664517
- Run by
- Helsinki University Central Hospital
- People needed
- 90
- Starts
- 2021-05-01
- Expected to finish
- 2024-12-31
- Last updated by the study team
- 2024-09-19
Who can join
Age: 7 and older, up to 12. Sex: any. Healthy volunteers: accepted.
You may qualify if…
- 7 to12 year old children
- Open distal radial physis
- Both bone forearm shaft fractures (AO-pediatric classification: 22D/2.1-5.2)
- More than 10 degrees of angulation
- with or without less than 10mm of shortening
You may not qualify if…
- Patients with bilateral fractures
- Gustilo-Anderson grade I-III open fracture
- Neurovascular deficit
- Compartment syndrome
- Pathologic fracture
- Patient not able to give a written informed consent
Where it is running
- HUS New Childrens Hospital — Helsinki, Finland (enrolling)
- Kuopio University Hospital — Kuopio, Finland (enrolling)
- Turku University Hospital — Turku, Finland (enrolling)
- Oulu University Hospital — Oulu, Finland
- Tampere University Hospital — Tampere, Finland
Full record on ClinicalTrials.gov
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