Long Term Follow up of the DVR-A Locking Plate
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Purpose
The surgical treatment of wrist fractures (distal radius bone) has been changed by the introduction of a new plate design, the locking plate. This results in improved fixation and stabilisation of the fracture fragments allowing early movement.
This type of plate has been increasingly used throughout the world but questions have been raised regarding the potential complications of the surgery, particularly nerve and tendon injury. The Norfolk and Norwich Hospital has treated over 250 distal radial fractures with this type of plate. The investigators plan to recall these patients to asses their long term function, general satisfaction and radiological results.
| Condition | Intervention |
|---|---|
|
Distal Radial Fractures Treated With a DVR-A Locking Plate |
Device: ORIF with DVR-A locking plate |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Retrospective |
| Official Title: | Long Term Follow Up Study Into The Use Of The DVR-A Locking Plate In The Treatment Of Distal Radial Fractures |
- DASH score [ Time Frame: One year or more post surgery ] [ Designated as safety issue: No ]Disability of arm shoulder and hand score. This is a patient administered validated score
- Pain [ Time Frame: One year or more post surgery ] [ Designated as safety issue: No ]A patient administered visual analogue scale numbered 1-10. A mark can be placed anywhere along the line with a score of 0 indicating no pain and 10 the worst pain imaginable
- Complications [ Time Frame: One year or more post surgery ] [ Designated as safety issue: Yes ]Examination and questioning by a hand therapist to pick up complications. Prompting for tendon irritation or rupture, neurovascular injury, plate or screw failure, hardware removal and infection
- Radiographic appearance [ Time Frame: One year or more post surgery ] [ Designated as safety issue: No ]Review of xrays to measure radial inclination, volar tilt,, shortening, articular stepoff and degenerative change
- EQ 5D [ Time Frame: More than one year post surgery ] [ Designated as safety issue: No ]Euroqual 5D is a patient administered general health questionaire that is validated.
- Grip Strength [ Time Frame: One year or more post surgery ] [ Designated as safety issue: No ]Measured by a dynomometer and referenced to the non operated side
- Range of motion [ Time Frame: One year or more post surgery ] [ Designated as safety issue: No ]Measured with a goniometer. Measurements taken of movements in the axial,coronal and sagital planes
- Pain [ Time Frame: One year or more post surgery ] [ Designated as safety issue: No ]A patient administered visual analogue scale numbered 1-10. A mark can be placed anywhere along the line with a score of 0 indicating no pain and 10 the worst pain imaginable
| Estimated Enrollment: | 250 |
| Study Start Date: | May 2010 |
| Estimated Study Completion Date: | December 2010 |
| Estimated Primary Completion Date: | December 2010 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
DVR-A
Patients with a distal radial fracture treated with a DVR-A locking plate
|
Device: ORIF with DVR-A locking plate
Size, length of plate and number os screws decided by operating surgeon
Other Names:
|
Eligibility| Ages Eligible for Study: | 16 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Participants will be taken from a population consisting of all patients who have undergone distal radial fracture treatement with a DVR-A locking plate at the norfolk and Norwich University hospitals NHS Foundation Trust
Inclusion Criteria:
- Treatment between Jan 2005 and March 2009
Exclusion Criteria:
- Under 16
- Unable to consent
- Pregnant
Contacts and Locations| United Kingdom | |
| Norfolk and Norwich University Hospitals NHS Foundation Trust | |
| Norwich, Norfolk, United Kingdom, NR4 7UY | |
| Principal Investigator: | Adrian J Chojnowski | Norfolk and Norwich University Hospitals NHS Foundation Trust |
More Information
No publications provided
| Responsible Party: | Adrian Chojnowski - Consultant Orthopaedic Surgeon, Norfolk and Norwich University Hospitals NHS Foundation Trust |
| ClinicalTrials.gov Identifier: | NCT01122628 History of Changes |
| Other Study ID Numbers: | 2009ORTH11, ISS2009050 |
| Study First Received: | May 12, 2010 |
| Last Updated: | May 12, 2010 |
| Health Authority: | United Kingdom: Research Ethics Committee |
Keywords provided by Norfolk and Norwich University Hospitals NHS Foundation Trust:
|
Distal Radial Fracture Volar Locking Plate |
Additional relevant MeSH terms:
|
Fractures, Bone Wounds and Injuries |
ClinicalTrials.gov processed this record on May 16, 2013