400-9696-311 转1
400-9696-311 转2
400-9696-311 转3
400-9696-311 转4
ChiCTR2000032970
尚未开始
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2020-05-17
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远端骨折
Plaster Immobilization versus Volar Plating for Distal Radius Fractures in the Superelderly
Plaster Immobilization versus Volar Plating for Distal Radius Fractures in the Superelderly
75500
We hypothesise that in this age group, casting is as effective as surgical management in clinical outcomes and therefore may be preferable in the super elderly for whom the risk of anaesthesia would be significant
随机平行对照
探索性研究/预试验
The patients were randomly allocated by a computer in a 1:1 ratio to open reduction and volar plate fixation or plaster immobilization stratified by AO fracture type, gender, number of comorbidities, body mass index, American Society of Anesthetist grade.
Open label
Nil
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87;72
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2016-05-27
2020-03-14
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Patients aged 75 years and older with an isolated closed unilateral distal radius fracture were included in the study. These fractures were either: 1. Extra-articular fractures, having a dorsal displacement of more than 20 degrees (with or without a displaced intra-articular component) with dorsal cortical comminution as seen on the lateral radiograph; 2. Displaced intra-articular fractures with an articular step-off or gap in the radiocarpal joint surface.;
请登录查看1. Patients with an unacceptable closed fracture reduction; 2. Multiple injuries; 3. Patients with open distal radius fractures; 4. Other fractures of the affected extremity (except for a fracture of the ulnar styloid process); 5. Patients with impaired wrist function prior to trauma (e.g. rheumatoid arthritis, neurological disorders or previous malunion of the affected limb); 6. Proximal metaphyseal fractures (>2.5 cm from the articular surface); 7. Substantial pre-existing radiographic abnormality; 8. AO type B; 9. Bilateral injuries; 10. Previous fractures of the distal part of the radius of the same or contralateral limb; 11. Patients who are unable to consent to treatment.;
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75500
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