Evaluating the need for closed reduction in wrist fractures before surgery
Refraining From Closed Reduction of Dislocated Distal Radius Fractures in the Emergency Department
This study is testing if doing a closed reduction on wrist fractures before surgery helps people feel less pain and recover better compared to just using a plaster cast.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 134 (estimated) |
| Ages | 18 Years to 75 Years |
| Sex | All |
| Sponsor | Maasstad Hospital Academic / other |
| Locations | 1 site (Rotterdam, Maasstadweg 21) |
| Trial ID | NCT06046404 on ClinicalTrials.gov |
What this trial studies
This clinical trial investigates the effectiveness of closed reduction for displaced distal radial fractures in patients awaiting surgery in the emergency department. It is a multicenter cluster randomized trial involving 134 patients who will be assigned to either receive closed reduction followed by plaster casting or just plaster casting alone. The primary outcomes measured will include pain levels leading up to surgery and postoperative hand and wrist function, while secondary outcomes will assess emergency department stay duration, surgery length, return to work, and complications.
Who should consider this trial
Good fit: Ideal candidates are individuals with displaced distal radial fractures who are eligible for surgical intervention.
Not a fit: Patients with open fractures, multiple fractures in the same limb, or significant neurovascular damage may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could lead to improved pain management and functional outcomes for patients with wrist fractures.
How similar studies have performed: While the approach of evaluating closed reduction in this context is not widely tested, similar studies have shown varying results regarding the necessity and effectiveness of closed reduction in fracture management.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * displaced distal radial fracture eligible for surgery Exclusion Criteria: * ISS traumascore \>16 * open fracture * multiple fractures in ipsilateral extremety * neurovascular damage * previous injury in the same wrist * inability to complete questionnaires
Where this trial is running
Rotterdam, Maasstadweg 21
- Maasstad Hospital — Rotterdam, Maasstadweg 21, Netherlands (Recruiting)
Study contacts
- Study coordinator: Bas M Derksen, MsC
- Email: DerksenB@maasstadziekenhuis.nl
- Phone: 0031618027390
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.