About this trial
Local data has shown conflicting results regarding the outcomes of volar locking plates versus external fixators in distal intra-articular radius fractures. Therefore, the current study was planned with the objective of comparing the outcome of a volar locking plate versus an external fixator in distal intra-articular radius fractures.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Any gender
Aged 20 to 60
with intra-articular fractures of the distal radius
The fracture lasted less than seven days
Disqualifiers
Patients with bilateral distal radius fractures and any further related injuries or fractures
Distal radius open fractures
Individuals receiving immunosuppressive, chemotherapeutic, or corticosteroid medications (based on medical history and records)
Individuals with underlying medical co-morbidities, such as diabetes and uncontrolled hypertension, (determined by their medical history and record)
Trial design
Parallel
Treatments tested in this trial
Volar locking plates
Procedure/SurgeryPatients will be treated with volar locking plates. The distal radius fragments will be stabilized using the conventional modified Henry's volar technique with 2.4 mm locking compression plates.
External Fixator
Procedure/SurgeryPatients will be employed with an external fixator, directly fixing to the second or third metacarpal bone using 3-mm pins and the radius using 4-mm Schanz pins.
Treatment groups
Trial outcomes
Primary outcomes
Operative time
Operative time will be measured in minutes from skin incision to skin closure.
Blood Loss
Blood loss will be estimated in milliliters, measuring clots in a suction bottle, the difference between the pre- and postoperative sponge weights using the 1 g-1 ml formula, and blood clots in a clenched fist.
Wrist function
Wrist function will be evaluated using the Mayo Wrist Score. Patient frequencies will be recorded, with scores of 90-100 points reflecting an excellent outcome, 80-89 points indicating a good outcome, 60-79 points representing a satisfactory outcome, and scores below 60 points denoting a poor outcome.
Sponsors and contacts
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Muhammad Aamir Latif
Lead sponsor
RESnTEC, Institute of Research
Sponsor institution