Surgical fixation with K-wires versus plaster casting in the treatment of dorsally displaced distal radius fractures: protocol for Distal Radius Acute Fracture Fixation Trial 2 (DRAFFT 2)
<p>Introduction: Optimal management of distal radius fractures in adults remains controversial. Previous evidence and current clinical guidelines tell us that, if a closed reduction of a dorsally displaced fracture is possible, Kirschner wires (K-wires) are the preferred form of surgical fixat...
| Váldodahkkit: | , , , , , , , , , |
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| Materiálatiipa: | Journal article |
| Almmustuhtton: |
BMJ Publishing Group
2019
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| _version_ | 1826269047619059712 |
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| author | Achten, J Sones, W Dias, J Hedley, H Cook, J Dritsaki, M Ee Png, M Gray, A Lamb, S Costa, M |
| author_facet | Achten, J Sones, W Dias, J Hedley, H Cook, J Dritsaki, M Ee Png, M Gray, A Lamb, S Costa, M |
| author_sort | Achten, J |
| collection | OXFORD |
| description | <p>Introduction: Optimal management of distal radius fractures in adults remains controversial. Previous evidence and current clinical guidelines tell us that, if a closed reduction of a dorsally displaced fracture is possible, Kirschner wires (K-wires) are the preferred form of surgical fixation. However, the question remains whether there is any need to perform surgical fixation following a successful closed reduction, or is a simple plaster cast as effective? This is the protocol for a randomised controlled trial of manipulation and surgical fixation with K-wires versus manipulation and casting in the treatment of dorsally displaced distal radius fractures.</p> <p>Methods and analysis: Adult patients with an acute dorsally displaced fracture of the distal radius are potentially eligible to take part. Prior to surgery, baseline demographic data, radiographs, data on pain/function using the Patient-Rated Wrist Evaluation Score (PRWE) and health-related quality of life (HRQoL) using the EuroQoL 5-dimension 5-level (EQ-5D-5L) will be collected. A randomisation sequence, stratified by centre, intra-articular extension of the fracture and age, will be administered via a secure web-based service. Each patient will be randomly allocated to either ‘manipulation and surgical fixation with K-wires’ or ‘manipulation and plaster casting’. A clinical assessment, radiographs and records of early complications will be recorded at 6 weeks. PRWE and HRQoL outcome data will be collected at 3, 6 and 12 months post-randomisation. Further information will be requested with regard to healthcare resource use and any complications.</p> <p>Ethics and Dissemination: The National Research Ethic Committee approved this study on 6 October 2016 (16/SC/0462).</p> <p>The National Institute for Health Research Health Technology Assessment monograph and a manuscript to a peer-reviewed journal will be submitted on completion of the trial. The results of this trial will substantially inform clinical practice on the clinical and cost-effectiveness of the treatment of this injury.</p> |
| first_indexed | 2024-03-06T21:18:57Z |
| format | Journal article |
| id | oxford-uuid:40c59c60-c259-4f05-ace3-67e88a38f1ab |
| institution | University of Oxford |
| last_indexed | 2024-03-06T21:18:57Z |
| publishDate | 2019 |
| publisher | BMJ Publishing Group |
| record_format | dspace |
| spelling | oxford-uuid:40c59c60-c259-4f05-ace3-67e88a38f1ab2022-03-26T14:39:48ZSurgical fixation with K-wires versus plaster casting in the treatment of dorsally displaced distal radius fractures: protocol for Distal Radius Acute Fracture Fixation Trial 2 (DRAFFT 2)Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:40c59c60-c259-4f05-ace3-67e88a38f1abSymplectic Elements at OxfordBMJ Publishing Group2019Achten, JSones, WDias, JHedley, HCook, JDritsaki, MEe Png, MGray, ALamb, SCosta, M<p>Introduction: Optimal management of distal radius fractures in adults remains controversial. Previous evidence and current clinical guidelines tell us that, if a closed reduction of a dorsally displaced fracture is possible, Kirschner wires (K-wires) are the preferred form of surgical fixation. However, the question remains whether there is any need to perform surgical fixation following a successful closed reduction, or is a simple plaster cast as effective? This is the protocol for a randomised controlled trial of manipulation and surgical fixation with K-wires versus manipulation and casting in the treatment of dorsally displaced distal radius fractures.</p> <p>Methods and analysis: Adult patients with an acute dorsally displaced fracture of the distal radius are potentially eligible to take part. Prior to surgery, baseline demographic data, radiographs, data on pain/function using the Patient-Rated Wrist Evaluation Score (PRWE) and health-related quality of life (HRQoL) using the EuroQoL 5-dimension 5-level (EQ-5D-5L) will be collected. A randomisation sequence, stratified by centre, intra-articular extension of the fracture and age, will be administered via a secure web-based service. Each patient will be randomly allocated to either ‘manipulation and surgical fixation with K-wires’ or ‘manipulation and plaster casting’. A clinical assessment, radiographs and records of early complications will be recorded at 6 weeks. PRWE and HRQoL outcome data will be collected at 3, 6 and 12 months post-randomisation. Further information will be requested with regard to healthcare resource use and any complications.</p> <p>Ethics and Dissemination: The National Research Ethic Committee approved this study on 6 October 2016 (16/SC/0462).</p> <p>The National Institute for Health Research Health Technology Assessment monograph and a manuscript to a peer-reviewed journal will be submitted on completion of the trial. The results of this trial will substantially inform clinical practice on the clinical and cost-effectiveness of the treatment of this injury.</p> |
| spellingShingle | Achten, J Sones, W Dias, J Hedley, H Cook, J Dritsaki, M Ee Png, M Gray, A Lamb, S Costa, M Surgical fixation with K-wires versus plaster casting in the treatment of dorsally displaced distal radius fractures: protocol for Distal Radius Acute Fracture Fixation Trial 2 (DRAFFT 2) |
| title | Surgical fixation with K-wires versus plaster casting in the treatment of dorsally displaced distal radius fractures: protocol for Distal Radius Acute Fracture Fixation Trial 2 (DRAFFT 2) |
| title_full | Surgical fixation with K-wires versus plaster casting in the treatment of dorsally displaced distal radius fractures: protocol for Distal Radius Acute Fracture Fixation Trial 2 (DRAFFT 2) |
| title_fullStr | Surgical fixation with K-wires versus plaster casting in the treatment of dorsally displaced distal radius fractures: protocol for Distal Radius Acute Fracture Fixation Trial 2 (DRAFFT 2) |
| title_full_unstemmed | Surgical fixation with K-wires versus plaster casting in the treatment of dorsally displaced distal radius fractures: protocol for Distal Radius Acute Fracture Fixation Trial 2 (DRAFFT 2) |
| title_short | Surgical fixation with K-wires versus plaster casting in the treatment of dorsally displaced distal radius fractures: protocol for Distal Radius Acute Fracture Fixation Trial 2 (DRAFFT 2) |
| title_sort | surgical fixation with k wires versus plaster casting in the treatment of dorsally displaced distal radius fractures protocol for distal radius acute fracture fixation trial 2 drafft 2 |
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