Clinical trial NCT06255106: CT Analysis Comparing Cast and Three-Point Indexes in Distal Radius Fracture Care
Official title: Comparative Computed Tomography Analysis of the Cast Index and Three-Point Index in Distal Radius Fracture Treatment
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Distal Radius Fractures
Keywords: distal radius fracture
cast index
three point index
computed tomography
Lead sponsor: Istanbul University
Sponsor class: OTHER
First posted: 2024-02-12
Enrollment: 113
Sex: ALL
Minimum age (years): 19
Maximum age (years): 92
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: RETROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: patients diagnosed with distal radius fractures.

Brief summary: Objectives: To compare the cast index and three-point index measurements obtained using computed tomography (CT) with those acquired using conventional methods for treating distal radius fractures Design: A retrospective cohort study Setting: Level 1 trauma center Patients: One hundred and thirteen (45 men and 68 women) patients with distal radius fractures Interventions: Patients with distal radius fractures were retrospectively analyzed and received either conservative cast treatment or surgical intervention through open reduction and internal fixation between 2016 and 2022.

Main outcome measurements: The study evaluated the cast index and three-point index in the cast-treated group and their effectiveness using the Sarmiento index. Furthermore, radial height, volar tilt, and radial inclination were compared between the surgically treated and cast-treated groups.


Eligibility criteria: Inclusion Criteria:

* Patients aged ≥18 years
* Diagnosed with distal radius fracture
* Treated with either cast or volar plate osteosynthesis were included in the study.

Exclusion Criteria:

* Patients with multiple fractures in the same upper extremity
* Those treated with dorsal plates or external fixators
* Individuals with open fractures
* Patients with known systemic or rheumatologic diseases
* Those with cervical disk problems
* Individuals lacking post-cast removal CT data
* Patients with incomplete medical records were excluded.

Primary outcomes:
measure: Radial height
timeFrame: 2 weeks
measure: Radial İnclination
timeFrame: 2 weeks
measure: Volar tilt
timeFrame: 2 weeks
measure: Sarmiento radiological score
timeFrame: 2 weeks
Secondary outcomes:
measure: Axial Cast İndex
timeFrame: 2 weeks
measure: Three point index CT
timeFrame: 2 weeks
Other outcomes:
Locations:
city: İstanbul
country: Turkey
facility: University
Study officials:
affiliation: Istanbul University
name: Yaşar Samet Gökçeoğlu, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Song J, Yu AX, Li ZH. Comparison of conservative and operative treatment for distal radius fracture: a meta-analysis of randomized controlled trials. Int J Clin Exp Med. 2015 Oct 15;8(10):17023-35. eCollection 2015.
citation: Kahraman HC, Sibar K, Alemdaroglu KB, Subasi IO, Gokgoz MB. Is three-point index reliable in the follow-up of the distal radius metaphys fractures in the pediatric age group? J Pediatr Orthop B. 2023 Jul 1;32(4):369-377. doi: 10.1097/BPB.0000000000001032. Epub 2022 Nov 14.
citation: Owen RA, Melton LJ 3rd, Johnson KA, Ilstrup DM, Riggs BL. Incidence of Colles' fracture in a North American community. Am J Public Health. 1982 Jun;72(6):605-7. doi: 10.2105/ajph.72.6.605.
citation: Alemdaroglu KB, Iltar S, Aydogan NH, Say F, Kilinc CY, Tiftikci U. Three-point index in predicting redisplacement of extra-articular distal radial fractures in adults. Injury. 2010 Feb;41(2):197-203. doi: 10.1016/j.injury.2009.08.021. Epub 2009 Sep 26.
citation: Hosseinzadeh P, Olson D, Eads R, Jaglowicz A, Goldfarb CA, Riley SA. Radiologic Evaluation of the Distal Radius Indices in Early And Late Childhood. Iowa Orthop J. 2018;38:137-140.