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Completed

NCT Number: NCT06255106

CT Analysis Comparing Cast and Three-Point Indexes in Distal Radius Fracture Care

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.

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Key information

Conditions

Distal Radius Fractures Arm Injuries Fractures, Bone Wounds and Injuries Wrist Fractures Wrist Injuries

Age range

19 year–92 year

Sex eligibility

All sexes

Study type

Observational

Primary location

University

Istanbul, 34093, Turkey (Türkiye)

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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.

Treatment and study plan

Cast treatment

Other

Surgical intervention vs cast treatment

Other names: Open reduction volar plate fixation

Primary outcomes

  1. Radial height

    Time frame: 2 weeks

    Radiologic outcome measurement

  2. Radial İnclination

    Time frame: 2 weeks

    Radiologic outcome measurement

  3. Volar tilt

    Time frame: 2 weeks

    Radiologic outcome measurement

  4. Sarmiento radiological score

    Time frame: 2 weeks

    success of cast treatment

Secondary outcomes

  1. Axial Cast İndex

    Time frame: 2 weeks

    Cast index measure in axial plane CT

  2. Three point index CT

    Time frame: 2 weeks

    Three point index measure in CT

Sponsors and collaborators

Lead sponsor

Istanbul University

Other

Registry information

Official study title

Comparative Computed Tomography Analysis of the Cast Index and Three-Point Index in Distal Radius Fracture Treatment

Important dates

Study start
2022
Primary completion
2023
Study completion
2023
First posted
Feb 12, 2024
Registry last updated
Feb 12, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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