Comparison of Functional Recovery After Distal Intra-articular Radius Fracture With a Dorsal Tilt Treated With an Anterior Plate Versus a Posterior Plate

Study Overview
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Brief Summary
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For les intra-articular fractures, plate osteosynthesis is the indicated technique. Despite the absence of consensus, in recent years, the use of open reduction associated with internal plate fixation has considerably developed. Indeed, this therapeutic option allows a more anatomical reduction and stable fixation. First-generation posterior plates presented complications related to the size of the plate, notably tendon lesions. Over the last ten years, a new generation of thinner anterior plates has reduced these complications. In the literature, few studies have compared these two techniques in terms of functional and radiological outcomes. The hypothesis of this research is that osteosynthesis using a posterior plate is more effective than that with an anterior plate in terms of functional recovery in patients older than 60 years.

Official Title
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Comparison of Functional Recovery After Distal Intra-articular Radius Fracture With a Dorsal Tilt Treated With an Anterior Plate Versus a Posterior Plate

Conditions
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Distal Intra-articular Radius Fracture With a Dorsal Tilt

Intervention / Treatment
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* Other: DASH score
* Procedure: X-ray
* Procedure: posterior osteosynthesis
* Procedure: Anterior osteosynthesis


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients who have provided written informed consent Patients older than 60 years Patients presenting a closed intra-articular fracture of the distal radius with a dorsal tilt (stages B2, C1, C2 and C3) Exclusion Criteria: Adults under guardianship Patients without national health insurance cover Pregnant or breast-feeding women Patients presenting other injuries in the same upper limb Patients presenting injuries of the wrist or hand (scapholunate injury, fracture of the carpal bone or fingers) Pre-trauma paralysis of the limb Open fracture Fracture with palmer tilt or extra-articular

Ages Eligible for Study
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Minimum Age: 60 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: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Osteosynthesis using a posterior plate<br> | Other: DASH score<br>* Questionnaire asking about Disability of Arm, Shoulder and Hand<br>Procedure: X-ray<br>* postoperative x-rays at 6 weeks, 3, 6 and 12 months<br>Procedure: posterior osteosynthesis<br>* Osteosynthesis using a posterior plate<br>|
| Active Comparator: Osteosynthesis using an anterior plate<br> | Other: DASH score<br>* Questionnaire asking about Disability of Arm, Shoulder and Hand<br>Procedure: X-ray<br>* postoperative x-rays at 6 weeks, 3, 6 and 12 months<br>Procedure: Anterior osteosynthesis<br>* Osteosynthesis using an anterior plate<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Evaluation of functional recovery using the DASH questionnaire |  | 6 months |