Early Functional Outcomes After Closed Reduction With Pinning Versus Open Reduction Internal Fixation of Wrist Fractures
The purpose of this study is to compare early return to function in patients treated with closed reduction percutaneous pinning and open reduction internal fixation in displaced fractures of the distal radius.
Hypothesis: Wrist range of motion, grip strength and outcome at 2-3 months after injury are better in patients treated with open reduction, internal fixation (ORIF) than in patients treated with closed reduction percutaneous pinning techniques (CRPP). In addition patients treated with ORIF return to work at faster rates.
|Official Title:||Early Functional Outcomes After Closed Reduction Percutaneous Pinning vs. Open Reduction Internal Fixation of Distal Radius Fractures: A Prospective Randomized Trial|
- Wrist range of motion measurement. As well as recorded score from the DASH questionnaire. [ Time Frame: 3 months post surgery ] [ Designated as safety issue: Yes ]
- Range of motion measured in wrist and a scored DASH questionnaire [ Time Frame: 1 year after surgery ] [ Designated as safety issue: Yes ]
Active Comparator: Operative (CRPP)
If indicated, the wrist fracture would be treated with surgery-the specific operative procedure would be randomized.
Closed reduction, percutaneous pinning
Active Comparator: Operative (ORIF)
If indicated, the wrist fracture would be treated with surgery-the specific operative procedure would be randomized
Open reduction, internal fixation
|United States, Massachusetts|
|Beth Israel Deaconess Medical Center|
|Boston, Massachusetts, United States, 02215|
|Principal Investigator:||Tamara D Rozental, MD||Beth Israel Deaconess Medical Center|