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Completed

NCT Number: NCT01122628

Long Term Follow up of the DVR-A Locking Plate

The surgical treatment of wrist fractures (distal radius bone) has been changed by the introduction of a new plate design, the locking plate. This results in improved fixation and stabilisation of the fracture fragments allowing early movement.

This type of plate has been increasingly used throughout the world but questions have been raised regarding the potential complications of the surgery, particularly nerve and tendon injury. The Norfolk and Norwich Hospital has treated over 250 distal radial fractures with this type of plate. The investigators plan to recall these patients to asses their long term function, general satisfaction and radiological results.

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Key information

Age range

16 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Norfolk and Norwich University Hospitals NHS Foundation Trust

Norwich, Norfolk, NR4 7UY, United Kingdom

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Treatment between Jan 2005 and March 2009

Exclusion criteria

  • Under 16
  • Unable to consent
  • Pregnant

Treatment and study plan

ORIF with DVR-A locking plate

Device

Size, length of plate and number os screws decided by operating surgeon

Other names: Distal volar radial anatomic plate, Hand inovations

Primary outcomes

  1. DASH score

    Time frame: One year or more post surgery

    Disability of arm shoulder and hand score. This is a patient administered validated score

  2. Pain

    Time frame: One year or more post surgery

    A patient administered visual analogue scale numbered 1-10. A mark can be placed anywhere along the line with a score of 0 indicating no pain and 10 the worst pain imaginable

Secondary outcomes

  1. Complications

    Time frame: One year or more post surgery

    Examination and questioning by a hand therapist to pick up complications. Prompting for tendon irritation or rupture, neurovascular injury, plate or screw failure, hardware removal and infection

  2. Radiographic appearance

    Time frame: One year or more post surgery

    Review of xrays to measure radial inclination, volar tilt,, shortening, articular stepoff and degenerative change

  3. EQ 5D

    Time frame: More than one year post surgery

    Euroqual 5D is a patient administered general health questionaire that is validated.

  4. Grip Strength

    Time frame: One year or more post surgery

    Measured by a dynomometer and referenced to the non operated side

  5. Range of motion

    Time frame: One year or more post surgery

    Measured with a goniometer. Measurements taken of movements in the axial,coronal and sagital planes

  6. Pain

    Time frame: One year or more post surgery

    A patient administered visual analogue scale numbered 1-10. A mark can be placed anywhere along the line with a score of 0 indicating no pain and 10 the worst pain imaginable

Sponsors and collaborators

Lead sponsor

Norfolk and Norwich University Hospitals NHS Foundation Trust

Other

Collaborators

  • DePuy International
  • Global Diagnostics UK

Registry information

Official study title

Long Term Follow Up Study Into The Use Of The DVR-A Locking Plate In The Treatment Of Distal Radial Fractures

Important dates

Study start
2010
Primary completion
2012
Study completion
2012
First posted
May 13, 2010
Registry last updated
Aug 23, 2018

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.