CT Analysis Comparing Cast and Three-Point Indexes in Distal Radius Fracture Care

February 9, 2024 updated by: Yasar Samet Gokceoglu, Istanbul University

Comparative Computed Tomography Analysis of the Cast Index and Three-Point Index in Distal Radius Fracture Treatment

Objectives: To compare the cast index and three-point index measurements obtained using computed tomography (CT) with those acquired using conventional methods for treating distal radius fractures Design: A retrospective cohort study Setting: Level 1 trauma center Patients: One hundred and thirteen (45 men and 68 women) patients with distal radius fractures Interventions: Patients with distal radius fractures were retrospectively analyzed and received either conservative cast treatment or surgical intervention through open reduction and internal fixation between 2016 and 2022.

Main outcome measurements: The study evaluated the cast index and three-point index in the cast-treated group and their effectiveness using the Sarmiento index. Furthermore, radial height, volar tilt, and radial inclination were compared between the surgically treated and cast-treated groups.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Observational

Enrollment (Actual)

113

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Turkey
      • İstanbul, Turkey, 34093
        • University

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Sampling Method

Non-Probability Sample

Study Population

patients diagnosed with distal radius fractures.

Description

Inclusion Criteria:

  • Patients aged ≥18 years
  • Diagnosed with distal radius fracture
  • Treated with either cast or volar plate osteosynthesis were included in the study.

Exclusion Criteria:

  • Patients with multiple fractures in the same upper extremity
  • Those treated with dorsal plates or external fixators
  • Individuals with open fractures
  • Patients with known systemic or rheumatologic diseases
  • Those with cervical disk problems
  • Individuals lacking post-cast removal CT data
  • Patients with incomplete medical records were excluded.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
Group 1
Group 1, consisting of individuals treated with a cast
Other: cast treatment
Surgical intervention vs cast treatment
Other Names:
  • Open reduction volar plate fixation
Group 2
Group 2, comprising those who underwent surgical intervention (Open reduction volar plate fixation.
Other: cast treatment
Surgical intervention vs cast treatment
Other Names:
  • Open reduction volar plate fixation

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Radial height
Time Frame: 2 weeks
Radiologic outcome measurement
2 weeks
Radial İnclination
Time Frame: 2 weeks
Radiologic outcome measurement
2 weeks
Volar tilt
Time Frame: 2 weeks
Radiologic outcome measurement
2 weeks
Sarmiento radiological score
Time Frame: 2 weeks
success of cast treatment
2 weeks

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Axial Cast İndex
Time Frame: 2 weeks
Cast index measure in axial plane CT
2 weeks
Three point index CT
Time Frame: 2 weeks
Three point index measure in CT
2 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Istanbul University

Investigators

  • Principal Investigator: Yaşar Samet Gökçeoğlu, MD, Istanbul University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

February 1, 2022

Primary Completion (Actual)

May 10, 2023

Study Completion (Actual)

July 15, 2023

Study Registration Dates

First Submitted

February 2, 2024

First Submitted That Met QC Criteria

February 9, 2024

First Posted (Actual)

February 12, 2024

Study Record Updates

Last Update Posted (Actual)

February 12, 2024

Last Update Submitted That Met QC Criteria

February 9, 2024

Last Verified

February 1, 2024

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • DistalRadiuscast

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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