Comparison of Functional Outcomes of Closed Reduction With Cast Versus Closed Reduction With K-Wire Fixation in Colles' Fracture

Comparison of the Functional Outcomes of Closed Reduction and Plaster of Paris Application Versus Closed Reduction With K-Wire Fixation and Plaster of Paris Application in the Management of Colles' Fracture.

Colles' fracture is a common distal radius injury, often managed with closed reduction and Plaster of Paris (POP) casting. However, loss of alignment may occur with casting alone. Percutaneous K-wire fixation may improve fracture stability. This study aims to compare the functional outcomes of closed reduction with POP cast application versus closed reduction with K-wire fixation followed by POP cast application in the management of Colles' fractures.

Study Overview

• Status: Not yet recruiting
• Conditions: Colles' Fracture
• Intervention / Treatment: Procedure: Closed reduction and fracture manipulation and plaster of Paris application in group A; Procedure: closed reduction and Percutaneous K-wire fixation and plaster of application is applied in group B

Detailed Description

This randomized controlled trial evaluates two commonly used treatment methods for Colles' fractures. Sixty participants were randomized into two groups: closed reduction with POP cast application, and closed reduction with percutaneous K-wire fixation followed by POP cast application. Follow-up assessments were scheduled to evaluate functional outcomes using the Gartland and Werley scoring system over a three-month period.

• Study Type: Interventional
• Enrollment (Estimated): 60
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: DR SUQLAIN ALI DR SUQLAIN ALI, MBBS FCPS; Phone Number: 00923317949721; Email: maliksaqlainali@gmail.com

Study Locations

• Pakistan
  • Punjab Province
    • Sialkot, Punjab Province, Pakistan, 51310
      • Khawaja Muhammad Safdar Medical College Sialkot

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

Age 18 to 60 years

Both genders

Closed Colles' fracture

Injury less than 1 week old

Provided informed consent

Exclusion Criteria:

Open fracture

Fracture with neurovascular injury

Medically unfit for surgery

Contraindication noted by orthopedic surgeon or anesthetist

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: Closed Reduction and Plaster of Paris Cast Application; Closed reduction followed by Plaster of Paris cast application	Procedure: Closed reduction and fracture manipulation and plaster of Paris application in group A; Closed reduction and manipulation of fracture and application of plaster of Paris in group A
Active Comparator: Closed Reduction with Percutaneous K-Wire Fixation and Plaster of Paris Cast Application; Closed Reduction With K-Wire Fixation and POP Cast Closed reduction followed by percutaneous K-wire fixation and Plaster of Paris cast application	Procedure: closed reduction and Percutaneous K-wire fixation and plaster of application is applied in group B; Group A Participant treated with the closed reduction and manipulation and plaster of paris application is applied for colles fracture.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Garland and werely score	The Gartland and Werley scoring system (range 0-52) evaluates functional outcomes after distal radius fracture. Lower scores indicate better outcomes	3 months

Collaborators and Investigators

• Sponsor: Khawaja Muhammad Safdar Medical College

Study record dates

Study Major Dates

• Study Start (Estimated): December 2, 2025
• Primary Completion (Estimated): January 18, 2026
• Study Completion (Estimated): January 30, 2026

Study Registration Dates

• First Submitted: November 18, 2025
• First Submitted That Met QC Criteria: December 1, 2025
• First Posted (Actual): December 15, 2025

Study Record Updates

• Last Update Posted (Actual): December 15, 2025
• Last Update Submitted That Met QC Criteria: December 1, 2025
• Last Verified: December 1, 2025

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Fracture Dislocation; Musculoskeletal Diseases; Wounds and Injuries; Joint Diseases; Fractures, Bone; Joint Dislocations; Radius Fractures; Colles' Fracture
• Other Study ID Numbers: KMSafdarMC

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Plan Description: Individual participant data (IPD) that underlie the results of the primary and secondary outcomes will be shared after de-identification. Shared data will include demographic variables, baseline characteristics, and outcome measures collected during the trial.
• IPD Sharing Time Frame: IPD and supporting documents will be made available beginning 12 months after publication of the primary results. Data will remain available for a minimum of 5 years thereafter or until the end of the study's data-retention period, whichever occurs later
• IPD Sharing Access Criteria: Access will be granted to qualified researchers affiliated with academic, nonprofit, or governmental institutions for the purpose of scientific inquiry and secondary analyses. Researchers must submit a data-access request including a brief proposal and statistical analysis plan. Upon approval, data will be shared through a secure, controlled-access data repository. Users will be required to sign a data use agreement prohibiting re-identification or unauthorized sharing of the data
• IPD Sharing Supporting Information Type: STUDY_PROTOCOL; SAP; ICF; ANALYTIC_CODE; CSR

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No