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Volar Locking Plate로 치료한 원위 요골 골절 후 즉각적인 가동화 대 2주 깁스 고정화 (LIMPER-DRF)

2026년 10월 31일 업데이트: Aleksi Reito, Tampere University Hospital

Volar Locking Plate로 치료한 원위 요골 골절 후 즉시 가동화 대 2주 깁스 고정화 - 전향적, 무작위, 통제 시험을 위한 연구 프로토콜

The aim of this study is to analyze total lenght of the sick leace and functional outcome (PRWE) at 2 months between 2 weeks casting and immediate mobilization following volar plating for a DRF.

연구 개요

상태

모집하지 않고 적극적으로

정황

개입 / 치료

상세 설명

This study is a prospective, randomized, controlled trial. The aim of this study will be to compare the early postoperative outcomes of the patients enrolled in the early mobilization with those patients in post-operative 2-week casting following volar plating for a DRF. Co-primary outcome in this study will be the total lenght of sick leave and Patient-Rated Wrist Evaluation (PRWE) 2 months after the operation.

연구 유형

중재적

등록 (추정된)

240

단계

  • 해당 없음

연락처 및 위치

이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.

연구 장소

      • Danderyd, 스웨덴
        • Danderyds Sjukhus
      • Sundsvall, 스웨덴
        • Sundsvalls sjukhuset
      • Jyväskylä, 핀란드
        • Teemu Karjalainen
      • Kuopio, 핀란드
        • Kuopio University Hospital
      • Tampere, 핀란드
        • Laura Kärnä

참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

18년 (성인, 고령자)

건강한 자원 봉사자를 받아들입니다

아니

연구 대상 성별

모두

설명

Inclusion Criteria:

  • Intra- or extra articular DRF (Colles, Smith, Volar barton)
  • operative treatment justified

Exclusion Criteria:

  • Refusal to participate in the study
  • Open fracture with a severity greater than Gustilo grade 1
  • Patient aged less than 18 or over 65
  • Patient does not understand written or spoken guidance in local languages
  • Pathological fracture
  • Previous fracture in the same wrist or forearm in the last 10 years, that has led to impairment of function
  • Ipsilateral fracture in upper extremity
  • Associated fractures of the ulna (except fractures of the PSU)
  • Polytrauma

공부 계획

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

연구는 어떻게 설계됩니까?

디자인 세부사항

  • 주 목적: 치료
  • 할당: 무작위
  • 중재 모델: 병렬 할당
  • 마스킹: 없음(오픈 라벨)

무기와 개입

참가자 그룹 / 팔
개입 / 치료
실험적: 손바닥 잠금판으로 치료한 원위 요골 골절 후 즉시 동원

Immediate mobilization postoperatively without casting

Volar plating of distal radius fracture

활성 비교기: 손바닥 잠금판으로 치료한 원위 요골 골절 후 2주간 깁스 고정

Volar plating of distal radius fracture

Dorsal cast placed in OR

연구는 무엇을 측정합니까?

주요 결과 측정

결과 측정
측정값 설명
기간
Patient-rated wrist evaluation questionnaire
기간: 2 months

The PRWE is a 15-item questionnaire designed to measure wrist pain and disability in daily activities. It ranges from 100 (worst) to 0 (best). It consists of 2 subscales. Pain subscale contains 5 items. Function subscale contains total 10 items which are further divided into 2 sections: specific activities (having 6 items) and usual activities.

2 months
Total lenght of the sick leave
기간: 12 months

Total number of days of work during the 1 year study period

12 months

2차 결과 측정

결과 측정
측정값 설명
기간
Patient-rated wrist evaluation questionnaire
기간: 4 weeks

The PRWE is a 15-item questionnaire designed to measure wrist pain and disability in daily activities. It ranges from 100 (worst) to 0 (best). It consists of 2 subscales. Pain subscale contains 5 items. Function subscale contains total 10 items which are further divided into 2 sections: specific activities (having 6 items) and usual activities.

4 weeks
Patient-rated wrist evaluation questionnaire
기간: 6 months

The PRWE is a 15-item questionnaire designed to measure wrist pain and disability in daily activities. It ranges from 100 (worst) to 0 (best). It consists of 2 subscales. Pain subscale contains 5 items. Function subscale contains total 10 items which are further divided into 2 sections: specific activities (having 6 items) and usual activities.

6 months
Patient-rated wrist evaluation questionnaire
기간: 12 months

The PRWE is a 15-item questionnaire designed to measure wrist pain and disability in daily activities. It ranges from 100 (worst) to 0 (best). It consists of 2 subscales. Pain subscale contains 5 items. Function subscale contains total 10 items which are further divided into 2 sections: specific activities (having 6 items) and usual activities.

12 months
Return to work
기간: 4 weeks

Patient is asked if he or she has returned to the previous work. If no patient is asked is he or she Still on sick leave, partial sick leave or returned to other work.

4 weeks
Return to work
기간: 2 months

Patient is asked if he or she has returned to the previous work. If no patient is asked is he or she Still on sick leave, partial sick leave or returned to other work.

2 months
Return to work
기간: 6 months

Patient is asked if he or she has returned to the previous work. If no patient is asked is he or she Still on sick leave, partial sick leave or returned to other work.

6 months
Return to work
기간: 12 months

Patient is asked if he or she has returned to the previous work. If no patient is asked is he or she Still on sick leave, partial sick leave or returned to other work.

12 months
Complications
기간: 4 weeks

Any surgery related complication: wound dehiscence, deep infection, flexor tendon rupture, nerve injury, mechanical complications, nonunion, malunion, complex regional pain syndrome

4 weeks
Complications
기간: 2 months

Any surgery related complication: wound dehiscence, deep infection, flexor tendon rupture, nerve injury, mechanical complications, nonunion, malunion, complex regional pain syndrome

2 months
Complications
기간: 6 months

Any surgery related complication: wound dehiscence, deep infection, flexor tendon rupture, nerve injury, mechanical complications, nonunion, malunion, complex regional pain syndrome

6 months
Complications
기간: 12 months

Any surgery related complication: wound dehiscence, deep infection, flexor tendon rupture, nerve injury, mechanical complications, nonunion, malunion, complex regional pain syndrome

12 months
Self-perceived working ability
기간: 4 weeks

Patient is asked to rate his os her working ability using two scales: NRS from 0 (fully disabled) to 10 (best capability) and ordinally (fully capable, partially capable, fully disabled).

4 weeks
Self-perceived working ability
기간: 2 months

Patient is asked to rate his os her working ability using two scales: NRS from 0 (fully disabled) to 10 (best capability) and ordinally (fully capable, partially capable, fully disabled).

2 months
Self-perceived working ability
기간: 6 months

Patient is asked to rate his os her working ability using two scales: NRS from 0 (fully disabled) to 10 (best capability) and ordinally (fully capable, partially capable, fully disabled).

6 months
Self-perceived working ability
기간: 12 months

Patient is asked to rate his os her working ability using two scales: NRS from 0 (fully disabled) to 10 (best capability) and ordinally (fully capable, partially capable, fully disabled).

12 months
Visual analogue pain scale
기간: 4 weeks

Overall pain during last 7 days in a scale from 0 to 100 (worst)

4 weeks
Visual analogue pain scale
기간: 2 months

Overall pain during last 7 days in a scale from 0 to 100 (worst)

2 months
Visual analogue pain scale
기간: 6 months

Overall pain during last 7 days in a scale from 0 to 100 (worst)

6 months
Visual analogue pain scale
기간: 12 months

Overall pain during last 7 days in a scale from 0 to 100 (worst)

12 months
Patient-acceptable symptom state
기간: 2 months

Patient satisfaction will be measured using the patient-acceptable symptom state (PASS).The questionnaires will include the following questions: Would you be willing to take the same treatment again if the treatment result was as it is now? (Yes/No) Considering all the different ways your injury is affecting you, if you would remain in this state, do you feel that your current state is satisfactory (Yes/No)?

2 months
Patient-acceptable symptom state
기간: 6 months

Patient satisfaction will be measured using the patient-acceptable symptom state (PASS).The questionnaires will include the following questions: Would you be willing to take the same treatment again if the treatment result was as it is now? (Yes/No) Considering all the different ways your injury is affecting you, if you would remain in this state, do you feel that your current state is satisfactory (Yes/No)?

6 months
Patient-acceptable symptom state
기간: 12 months

Patient satisfaction will be measured using the patient-acceptable symptom state (PASS).The questionnaires will include the following questions: Would you be willing to take the same treatment again if the treatment result was as it is now? (Yes/No) Considering all the different ways your injury is affecting you, if you would remain in this state, do you feel that your current state is satisfactory (Yes/No)?

12 months
Work capacity
기간: 4 weeks

The participants will be asked to rate their working capacity on a numerical scale from 0 to 10, with "0" being not able to work at all and "10" being the ability to work at its best.

4 weeks
Work capacity
기간: 2 months

The participants will be asked to rate their working capacity on a numerical scale from 0 to 10, with "0" being not able to work at all and "10" being the ability to work at its best.

2 months
Work capacity
기간: 6 months

The participants will be asked to rate their working capacity on a numerical scale from 0 to 10, with "0" being not able to work at all and "10" being the ability to work at its best.

6 months
Work capacity
기간: 12 months

The participants will be asked to rate their working capacity on a numerical scale from 0 to 10, with "0" being not able to work at all and "10" being the ability to work at its best.

12 months

기타 결과 측정

결과 측정
측정값 설명
기간
Patient activity
기간: 4 weeks

Patient activity measured with triaxial wrist accelerometer

4 weeks

공동 작업자 및 조사자

여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.

스폰서

협력자

수사관

  • 연구 책임자: Aleksi Reito, Tampere University Hospital
  • 수석 연구원: Laura Kärnä, MD, Tampere University Hospital

간행물 및 유용한 링크

연구에 대한 정보 입력을 담당하는 사람이 자발적으로 이러한 간행물을 제공합니다. 이것은 연구와 관련된 모든 것에 관한 것일 수 있습니다.

연구 기록 날짜

이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.

연구 주요 날짜

연구 시작 (실제)

2021년 12월 1일

기본 완료 (실제)

2026년 2월 10일

연구 완료 (추정된)

2027년 2월 10일

연구 등록 날짜

최초 제출

2021년 10월 7일

QC 기준을 충족하는 최초 제출

2021년 11월 26일

처음 게시됨 (실제)

2021년 12월 9일

연구 기록 업데이트

마지막 업데이트 게시됨 (실제)

2026년 11월 4일

QC 기준을 충족하는 마지막 업데이트 제출

2026년 10월 31일

마지막으로 확인됨

2026년 10월 1일

추가 정보

이 연구와 관련된 용어

기타 연구 ID 번호

  • R21111

개별 참가자 데이터(IPD) 계획

개별 참가자 데이터(IPD)를 공유할 계획입니까?

예

IPD 계획 설명

Data is available on reasonable request.

IPD 공유 기간

After the study has been completed and for 10 years after.

IPD 공유 액세스 기준

On reasonable request and research plan for IPD use should be provided.

IPD 공유 지원 정보 유형

  • 연구_프로토콜
  • 수액
  • ICF
  • ANALYTIC_CODE

약물 및 장치 정보, 연구 문서

미국 FDA 규제 의약품 연구

아니

미국 FDA 규제 기기 제품 연구

아니

이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .