Optimal Duration of Mechanical Traction for Displaced Distal Radius Fractures
Official title: Optimal Duration of Longitudinal Mechanical Traction in Displaced Radius Fractures: a Prospective Non-inferiority Study
Run by Luzerner Kantonsspital · NCT07861763 · Data updated 2026-11-12
This study tests whether 1 minute of mechanical traction can align a displaced distal radius as well as 5 or 10 minutes in adults who come to the emergency department.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 36 (estimated) |
| Sponsor | Luzerner Kantonsspital Academic / other |
| Locations | 1 site (Lucerne, Canton of Lucerne) |
| Status | Recruiting |
| Started | September 2026 |
| Main results expected | November 2026 |
| Study ends | December 2026 |
| Registry record updated | October 6, 2026 |
| Trial ID | NCT07861763 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (18+) with an acute, displaced distal radius fracture requiring closed reduction and cast immobilization, who can provide informed consent.
✕Probably not a fit
Patients with fractures that do not respond to short traction or those needing immediate surgical fixation may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
In this prospective non-inferiority study, adults with an acute, displaced distal radius fracture requiring closed reduction and cast immobilization receive mechanical traction for 1, 5, and 10 minutes in the same patient. X-ray measurements of wrist alignment (tilt, radial inclination, radial height, and ulnar variance) are taken before traction and after each traction interval to see if shorter traction is not worse than longer traction. Each participant serves as their own control, allowing direct comparison of alignment across time points. The trial focuses on determining the shortest traction duration that achieves acceptable bone positioning while ensuring patient safety and comfort.
Why it matters
Potential benefit: If successful, the findings could shorten traction time without compromising bone alignment, potentially reducing patient discomfort and ED procedure duration.
How similar studies have gone: This is a non-inferiority evaluation with intra-patient comparisons; prior related work supports evaluating minimal effective traction, but results on the exact duration are limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: Age 18 years or older Acute, displaced distal radius fracture (AO/OTA 23-A, 23-B or 23-C) presenting to the Emergency Department and requiring closed reduction with mechanical traction and cast immobilisation Written informed consent Exclusion Criteria: Pathological fracture Open distal radius fracture Irreducible fracture requiring immediate operative fixation Previous surgery, previous fracture, or concomitant fracture of the same (ipsilateral) upper extremity Acute neurovascular compromise requiring immediate surgical intervention Inability to provide informed consent (e.g. severe cognitive impairment, dementia, acute substance intoxication, or a language barrier with no interpreter available) Pregnancy (screened per standard ED protocol)
Where it's running
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Luzerner Kantonsspital
Lucerne, Canton of Lucerne, Switzerland Recruiting
Study contacts
- Study coordinator: Jill I de Bode
- Email: jilliris.debode@luks.ch
- Phone: +410412054770
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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ESWT added to rehabilitation for CRPS-I after a distal radius fracture
This trial tests whether adding extracorporeal shock wave therapy to standard rehab helps adults with CRPS-I after a distal radius fracture.
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Wrist Injury Strengthening Exercise added to usual care for improving pain and function after a wrist fracture
This trial tests whether a therapist-guided strengthening program helps people 50 and older recover better from a wrist fracture than standard self-management advice.
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Home-use photobiomodulation (light) therapy to help recovery after distal radius (wrist) fracture surgery
This test will see if a home-use light therapy device plus twice-daily home exercises helps adults 18–65 recover wrist function after surgical repair of a distal radius fracture.
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Fear of movement and recovery after a non-surgical broken wrist
This project will see if fear of movement (kinesiophobia) predicts recovery in people treated without surgery for a broken wrist.
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Casting without prior reduction versus closed reduction for displaced wrist (distal radius) fractures in people 65 and older
This trial will test whether simply putting a cast on displaced wrist fractures in people 65 and older works as well as doing a closed reduction before casting by measuring wrist pain and function at 12 months.
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Early rehabilitation program for post-operative distal radius fractures
This study is testing a new early rehab program for people who had surgery for wrist fractures to see if it helps them recover better and feel less pain compared to standard rehab methods.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.