ISRCTN ISRCTN07813725
DOI https://doi.org/10.1186/ISRCTN07813725
Secondary identifying numbers 9191
Submission date
14/05/2014
Registration date
14/05/2014
Last edited
19/02/2020
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Musculoskeletal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Mr Simon John Pickard
Scientific

Twmpath Lane
Oswestry
SY10 7AG
United Kingdom

Phone +44 1691 404226
Email simon.pickard@rjah.nhs.uk

Study information

Study designRandomised; Interventional and Observational; Design type: Not specified, Treatment, Qualitative
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleSurgical interventions for treating intra and extra-articular distal radius fractures: a randomised controlled trial of internal fixation with plate & screws versus percutaneous K-wiring
Study acronymDistal Radius Internal Fixation Trial
Study objectivesThe aim of this study is to assess the functional benefit/value for money of fixation of low-impact wrist fractures using a volar plate compared to K wiring.
Ethics approval(s)10/H1203/19
Health condition(s) or problem(s) studiedTopic: Musculoskeletal disorders; Subtopic: Musculoskeletal (all Subtopics); Disease: Musculoskeletal
InterventionK-wires, The number of K-wires used and whether they are buried or not depends on the surgeon's preference.; Volar plate, The volar approach and a fixed angled locking plate should be used for patients in the ‘plate’ treatment group.; Follow Up Length: 12 month(s)
Intervention typeOther
Primary outcome measureDisability of Arm Shoulder and Hand Questionnaire functional score at baseline, 3, 6 and 12 months
Secondary outcome measures1. EQ5D Questionnaire at baseline, 3, 6 and 12 months
2. Patient Diary kept for three most post-surgery
3. Patient Related Wrist Evaluation Questionnaire functional score at baseline 3, 6 and 12 months
4. Resource Usage Questionnaire at baseline, 3, 6 and 12 months
5. X-ray review at 3 and 12 months
Overall study start date01/10/2010
Completion date16/12/2013

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participantsPlanned Sample Size: 169; UK Sample Size: 169
Total final enrolment170
Key inclusion criteria1. The patient is skeletally mature (at least 16 years old).
2. The patient has had a low-impact trauma resulting in an isolated distal radius fracture as confirmed by Xray. Lowimpact fractures are those sustained in a fall from no higher than a standing position and at a velocity not above that of running.
3. The fracture is no more than 2 weeks old at the time of surgery.
4. There is no definite contraindication to, or definite indication for, one particular intervention and thus the surgeon is
uncertain as to whether to treat the fracture with a plate or with kwiring.
5. NonEnglish speaking patients may be entered if there is a translator present at the time of consent and they have someone to help them fill in the questionnaires
Key exclusion criteria1. The patient has not given informed consent.
2. The patient is a child under 16 years of age.
3. The patient is not medically fit for surgery.
4. The fracture has previously been treated.
5. There is major displacement of articular fragments or obvious ligament injury.
6. The fracture is not displaced or is minimally displaced so that conservative treatment rather than surgery is considered appropriate.
7. If the fracture is accompanied by a compound injury with a Gustillo grading of 2 or higher.
8. The patient is unlikely to or unable, due to a cognitive impairment (as defined by the medical team responsible, this includes drug/alcohol abuse), to provide consent and complete questionnaires.
9. If the patient is not able to complete a year of followup

Patients not eligible for the study will receive clinical care and treatment as they would per normal clinical practice.
Date of first enrolment01/10/2010
Date of final enrolment16/12/2013

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Twmpath Lane
Oswestry
SY10 7AG
United Kingdom

Sponsor information

The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust(UK)
Hospital/treatment centre

Twmpath Lane
Oswestry
SY10 7AG
England
United Kingdom

ROR logo "ROR" https://ror.org/030mbcp39

Funders

Funder type

Government

NIHR Research for Patient Benefit (RfPB); Grant Codes: PB-PG-0408-16214

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration

2017 results presented at the British Orthopaedic Association conference in https://www.boa.ac.uk/uploads/assets/uploaded/d9355f25-8365-444d-b6648de243234932.pdf, see abstract 735
IPD sharing plan

Editorial Notes

19/02/2020: The following changes have been made:
1. A results abstract link has been added to publication and dissemination plan.
2. The final enrolment number has been added from the abstract.
14/02/2017: No publications found in PubMed, verifying study status with principal investigator.