Early Mobilization After Volar Plate Osteosynthesis of Distal Radius Fractures

Study Overview
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Brief Summary
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The aim of this study is to investigate the post operational mobilization after volar locking plate osteosynthesis of distal radius fractures. One group is admitted training exercises just after the fracture treatment, one group after 14 days immobilization in a cast. The primary hypothesis is, that immediate training leads to earlier and faster recovery. Our second hypothesis is, that immediate training does not lead to increased risk of fracture displacement.

Detailed Description
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Patients were followed for one year with controls after one, three, six and twelve months. Occupational therapists blinded for the intervention examined the patients at all times. ROM, strength and DASH score was performed.

Official Title
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Early Mobilization After Volar Plate Osteosynthesis of Distal Radius Fractures. A Prospective Randomized Study.

Conditions
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Distal Radius Fracture

Intervention / Treatment
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* Device: Removable splint omni med, Fischer Medical Aps, DK-2800 Lyngby, Denmark


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Over 50 years of age Distal radius fracture suitable for volar locking plate osteosynthesis Inhabitants in Region Sjaelland Exclusion Criteria: Dementia Abuse of drugs, medication or alcohol Open fractures Multitrauma or other injures on same extremity Earlier wrist fracture Delay of osteosynthesis of more than 14 days

Ages Eligible for Study
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Minimum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Immediate mobilization<br>Patients start exercises immediately after osteosynthesis. | Device: Removable splint omni med, Fischer Medical Aps, DK-2800 Lyngby, Denmark<br>* To be removed during training exercises three to five times a day<br>|
| Active Comparator: Later mobilization<br>Patients are allowed exercises after 14 days. | Device: Removable splint omni med, Fischer Medical Aps, DK-2800 Lyngby, Denmark<br>* To be removed during training exercises three to five times a day<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Disability of arm, shoulder and hand score (DASH) |  | After 4 weeks | 
| Disability of arm, shoulder and hand score (DASH) |  | After 3 months | 
| Disability of arm, shoulder and hand score (DASH) |  | After 6 months | 
| Disability of arm, shoulder and hand score (DASH) |  | After 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Range of motion |  | After 4 weeks | 
| Range of motion |  | After 3 months | 
| Range of motion |  | After 6 months | 
| Range of motion |  | After 12 months | 
| Grip strength |  | After 4 weeks | 
| Grip strength |  | After 3 months | 
| Grip strength |  | After 6 months | 
| Grip strength |  | After 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Volar locking plate osteosynthesis, Early mobilization, DASH