| CTRI Number |
CTRI/2020/05/025264 [Registered on: 20/05/2020] Trial Registered Prospectively |
| Last Modified On: |
20/05/2020 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Surgical/Anesthesia |
| Study Design |
Randomized, Parallel Group, Active Controlled Trial |
|
Public Title of Study
|
A Study Comparing The Outcome of Metallic Plate Fixation Versus Wire Fixation in Treating Fractures of The Wrist Joint |
|
Scientific Title of Study
|
Volar Plate Versus K-Wire Fixation in Intra-Articular Fracture of Distal Radius |
| Trial Acronym |
|
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
GAURAV CHATTERJEE |
| Designation |
POST GRADUATE |
| Affiliation |
VIMSAR, BURLA |
| Address |
Department of Orthopaedics,
VSS Institute of Medical Sciences and Research
Ayurvihar,Burla,768017
Sambalpur ORISSA 768017 India |
| Phone |
8895536087 |
| Fax |
06632430767 |
| Email |
gaurabapu@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
BRAJA SUNDAR SAHOO |
| Designation |
ASSOCIATE PROFESSOR |
| Affiliation |
VIMSAR, BURLA |
| Address |
Department of Orthopaedics,
VSS Institute of Medical Sciences and Research
Ayurvihar,Burla
Sambalpur ORISSA 768017 India |
| Phone |
9437108739 |
| Fax |
06632430767 |
| Email |
drbssahoo@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
GAURAV CHATTERJEE |
| Designation |
POST GRADUATE |
| Affiliation |
VIMSAR,BURLA |
| Address |
Department of Orthopaedics,
VSS Institute of Medical Sciences and Research
Ayurvihar,Burla,768017
Sambalpur ORISSA 768017 India |
| Phone |
8895536087 |
| Fax |
06632430767 |
| Email |
gaurabapu@gmail.com |
|
|
Source of Monetary or Material Support
|
| VSS INSTITUTE OF Medical Sciences and Research,Ayurvihar,Burla,768017 |
|
|
Primary Sponsor
|
| Name |
GAURAV CHATTERJEE |
| Address |
VSS INSTITUTE OF Medical Sciences and Research,Ayurvihar,Burla,768017 |
| Type of Sponsor |
Other [Principal investigator] |
|
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Details of Secondary Sponsor
|
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Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| GAURAV CHATTERJEE |
VSS INSTITUTE OF Medical Sciences and Research |
Department of orthopaedics Sambalpur ORISSA |
8895536087
gaurabapu@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| VIREC |
Approved |
|
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Regulatory Clearance Status from DCGI
|
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Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: S525||Fracture of lower end of radius, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
OPEN REDUCTION AND INTERNAL FIXATION WITH VOLAR PLATE |
Will be done by volar Henry’s approach.
Reduction and internal fixation with LIMITED CONTACT PLATE will be done.
Immobilization with volar wrist support for 15 days will be given.
Functional rehabilitation will be done 15 days after surgery.
|
| Intervention |
Pin and plaster |
Closed reduction under C-arm image intensifier.
2-3 k-wires will be introduced from the radial styloid, 1 k-wire for stabilization of distal radio-ulnar joint.
Brachio-metacarpal plaster cast will be given
Wires and cast removal after 4 weeks followed by functional re-habilitation will be done.
|
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
55.00 Year(s) |
| Gender |
Both |
| Details |
1.Articular fractures: AO type B & type C1-2
2.Age >18years i.e. skeletally mature
3.Isolated lesions
4.>15 degree displacement on lateral plane
5.>5mm radial shortening on frontal plane
6.Minimum of 2mm of either gap or step off
|
|
| ExclusionCriteria |
| Details |
1.Open fractures and neuro-vascular lesions
2.Ipsilateral upper extremity associated lesions
3.Previous history of fracture of the wrist
4.Patients with congenital anomaly of the wrist
|
|
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Method of Generating Random Sequence
|
Adaptive randomization, such as minimization |
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Method of Concealment
|
Alternation |
|
Blinding/Masking
|
Not Applicable |
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Primary Outcome
|
| Outcome |
TimePoints |
1.MAYO wrist score
2.DASH score
|
3 MONTHS
6 MONTHS
12 MONTHS
|
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
1.Age {young/old}
2.Sex {male/female}
3.Mechanism of trauma {fall/motor-vehicular accident/occupational accident}
4.Side involved {dominant/ non-dominan
5.Operative time{in mins}
6.Blood loss{ in ml}
7.Incidence of infection{ in percentage}
8.Number of C-arm exposure{ number of shots}
9.Duration of hospital stay{ in days}
|
3 MONTHS
6 MONTHS
12 MONTHS |
|
|
Target Sample Size
|
Total Sample Size="50" Sample Size from India="50"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
Phase 1 |
|
Date of First Enrollment (India)
|
25/05/2020 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="2" Months="0" Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
Publication Details
|
NIL |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
|
|
Brief Summary
|
OBJECTIVE:
To
compare the two procedures: percutaneous k-wire fixation and open reduction
internal fixation with volar plating in treatment of distal radius
intra-articular fractures.
HYPOTHESIS: Better
functional outcome is achieved with open reduction and volar plating.
|