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Repair or Not Repair Pronator Quadratus in the Volar Plating of Distal Radial Fracture Are Functional Outcomes Differ ? (PQ)

This study is ongoing, but not recruiting participants.
Sponsor:
Information provided by (Responsible Party):
National Taiwan University Hospital
ClinicalTrials.gov Identifier:
NCT01593813
First received: May 4, 2012
Last updated: May 7, 2012
Last verified: May 2012
History of Changes

May 4, 2012
May 7, 2012
May 2012
March 2013   (final data collection date for primary outcome measure)
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Complete list of historical versions of study NCT01593813 on ClinicalTrials.gov Archive Site
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Repair or Not Repair Pronator Quadratus in the Volar Plating of Distal Radial Fracture Are Functional Outcomes Differ ?
Repair or Not Repair Pronator Quadratus in the Volar Plating of Distal Radial Fracture-Are Functional Outcomes Differ ?

The theoretical benefits of the repair of the pronator quadratus include flexor tendon protection, remain of the normal pronation-supination range of motion (ROM) and strength, and keeping the stable DRUJ.

Repair or not repair pronator quadratus in the volar plating of distal radial fracture-Are functional outcomes differ?

In the operation of distal radial fractures, the volar plating techniques become popular. During the surgical approach, the pronator quadratus (PQ) muscle needs split or full-thickness strip to exposure the fracture site and facilitate the instrumentation of the plate. Generally, the PQ would be repaired. Sometimes, the PQ is damaged by the fracture fragment so severely that it is difficult to repair the PQ. However, there is few reviews paper to discuss the consequence of the unrepaired or repaired PQ and the AAOS guideline1 of the treatment of distal radial fracture in 2009 did not even list the management of the PQ. The function of the PQ includes pronation and stability of the distal radial-ulnar joint (DRUJ). According to the study, the elimination of PQ function will cause a significant decrease in pronation torque, which is supposed to affect the function of the wrist in the daily life. The theoretical benefits of the repair of the pronator quadratus include flexor tendon protection3,4, remain of the normal pronation-supination range of motion (ROM) and strength, and keeping the stable DRUJ.
Observational
Observational Model: Cohort
Time Perspective: Prospective
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Probability Sample

patient with distal radius fracture
Distal Radius Fracture
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*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Active, not recruiting
100
March 2013
March 2013   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • ≧ 20 or ≦ 80-years-old adult patients
  • Cooperative to evaluation
  • Distal radial fracture, fresh, single fracture
  • Volar plating

Exclusion Criteria:

  • < 20 or > 80-years-old patients
  • Uncooperative adult, such as dementia
  • Old fracture, more than 1 Week
  • Multiple fractures
  • Pathological fracture
  • Surgery other then volar plating
Both
20 Years to 80 Years
No
Contact information is only displayed when the study is recruiting subjects
Not Provided
 
NCT01593813
PQ repair
Yes
National Taiwan University Hospital
National Taiwan University Hospital
Not Provided
Study Chair: Jui-sheng Sun, PHD Department of Orthopedics of NTUH
National Taiwan University Hospital
May 2012

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP