Distal Radial Fractures in Adult Patients: 4 Weeks Versus 6 Weeks of Cast Immobilization
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Short Arm Cast for Distal Radius Fracture for four weeks, Short Arm Cast for Distal Radius Fracture for six weeks.
- Who it may be relevant to
- Registry conditions: Fracture Forearm, Radius Distal Fracture. Basic parameters: 18 years — 50 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Pakistan
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Distal Radial Fractures in Adult Patients: 4 Weeks Versus 6 Weeks of Cast Immobilization-A Randomized Controlled Trial
Overview
Post-intervention outcomes comparing casting in distal radius fractures of four weeks versus six weeks.
Detailed description
Cast immobilization for 6 weeks remains the mainstay of therapy for distal radius fractures. To challenge the therapeutic time frame, participants will be randomized into two arms, and the treatment arm will undergo immobilization for 4 weeks. Outcomes will be assessed at cast removal and then at 3 and 6 months prospectively using the Quick-DASH score and the DASH score (only at 6 months).
Interventions
- Procedure Short Arm Cast for Distal Radius Fracture for four weeks
Scotch cast immobilization below elbow for four weeks - Procedure Short Arm Cast for Distal Radius Fracture for six weeks
Scotch cast immobilization below elbow for six weeks
Primary outcome measures
- Quick Disability of Arm, Shoulder, and Hand Score (Quick DASH) [Time frame: Four weeks (Cast Removal)]
- Quick Disability of Arm, Shoulder, and Hand (Quick DASH) [Time frame: Six weeks (Cast Removal)]
- Quick Disability of Arm, Shoulder, and Hand (Quick DASH) [Time frame: 3 months after cast removal]
- Quick Disability of Arm, Shoulder, and Hand (Quick DASH) [Time frame: 6 months after cast removal]
- Disability of Arm, Shoulder, and Hand Score [Time frame: 6 months post-removal of cast immobilizations]
Secondary outcome measures (4)
- Radial Deviation [Time frame: 6 months post-cast immobilization removal]
- Ulnar Deviation [Time frame: 6 months post-cast immobilization removal.]
- Dorsiflexion [Time frame: 6 months post-cast immobilization removal.]
- Palmar Flexion [Time frame: 6 months post-cast immobilization removal.]
Eligibility criteria
Inclusion criteria
- Patients with DRF undergoing conservative management with cast immobilization
- Age between 18 to 50 years.
Exclusion criteria
- Any syndromic patients
- Any patients with musculoskeletal disease
- Patients having osteoporosis
- Post-menopausal females
- Smokers
- Ages less than 18 or greater than 50
- Patients presenting with intra-articular fractures
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Quadruple blind
- Primary purpose
- Treatment
Study locations
Pakistan · 1 center
- Liaquat National Hospital — Karachi
Identifiers
NCT: NCT07234370 · R.C-LNH-Orthpedics-05/2025/52