VOLCON: a randomized controlled trial investigating complications and functional outcome of volar plating vs casting of unstable distal radius fractures in patients older than 65 years.

ABSTRACT:

Background

Primary aim: to compare complications of operative vs non-operative treatment of unstable distal radius fractures (DRF) fulfilling national clinical guidelines for operative treatment. Secondary aim: to compare the functional outcomes.

Materials and methods

A single-centre randomized controlled trial of unstable DRF. 50 patients: volar locking plate, 2 weeks casting + 3 weeks orthosis. 50 patients: 5 weeks casting.

Primary outcome

complications assessed after 2 and 5 weeks and 6 and 12 months.

Secondary outcomes

Quick-DASH, PRWHE, range of motion, grip strength, EQ-5D-3L.

Results

148 patients were screened from November 2019 to March 2021. 48 patients did not want to participate or were unable to participate in the follow-up. 100 patients were

SUBMITTER: Thorninger R 

PROVIDER: S-EPMC9705678 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature