Satisfaction and Recovery After Distal Radius Fracture

Study Overview
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Brief Summary
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Distal radius fracture is the most common fracture in Sweden, but little is known about the patient's experience of pain and hand function during the first three months after the injury. This observational study will provide detailed information on a daily basis regarding pain, use of analgesic drugs, use of splints and hand function as measured weekly by a condition-specific questionnaire.

Detailed Description
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Two hundred patients who are treated conservatively in a cast and one hundred patients who have undergone surgery will be asked to complete a questionnaire with the following outcome measures for three months: Pain (day-by-day registration on a Likert scale, range 0-10) Analgesic used (day-by-day registration of specific drug, dose and number) PRWE (Patient Reported Wrist Evaluation form, week-by-week registration) Use of and evaluation of efficacy of prefabricated wrist splints (week-by-week registration) Details of sick leave and return to work at completion of the questionnaire at three months. The study is entirely PROM-based and the patient will not require any additional appointments.

Official Title
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Study on the Immediate Recovery and Satisfaction After Distal Radius Fracture During the First Three Months- a PROM Based Observational Study With Day-to-day Records

Conditions
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Distal Radius Fracture

Intervention / Treatment
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* Procedure: Treatment of fracture by forearm cast
* Procedure: Surgical treatment of fracture


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Unilateral distal radius fractures in patients without any other significant injuries regardless of ligament injuries and ulnar fractures. Signed written consent Exclusion Criteria: Compound injuries Open fractures Patients with post traumatic function deficits at any level in the affected arm prior to the distal radius fracture. Patients with function deficits in the affected arm due to other medical conditions (e.g. Parkinsons disease, Rheumatoid Arthritis) Reduced mental capacity (e.g. dementia, substance abuse)

Ages Eligible for Study
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Minimum Age: 18 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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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Cast<br>Patients that are conservatively treated (in a cast, either without or with reduction) | Procedure: Surgical treatment of fracture<br>* Patients that are surgically treated for DRF<br>|
| Surgery<br>Patients that undergo surgical treatment (regardless of method) | Procedure: Treatment of fracture by forearm cast<br>* Patient that are not surgically treated for DRF<br>* Other names: casting, conservative treatment;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient-reported hand function | Patient Rated Wrist Evaluation (PRWE) questionnaire | Every week for three months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Day-by-day pain record | Patient reported pain as measured on a Likert scale 0-10 (0=no pain, 10= maximum pain) | Every day for three months | 
| Analgesics | Daily record of use of analgesic drugs | Every day for three months | 
| Wrist splint usage | Patient reported use of splint and evaluation of its efficacy | Every week for three months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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wrist function, recovery