Casting in finger trap traction without reduction versus closed reduction and percutaneous pin fixation of dorsally displaced, over-riding distal metaphyseal radius fractures in children under 11 years old : A study protocol of a randomised controlled trial

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dc.contributor.author Laaksonen, Topi
dc.contributor.author Stenroos, Antti
dc.contributor.author Puhakka, Jani
dc.contributor.author Kosola, Jussi
dc.contributor.author Kautiainen, Hannu
dc.contributor.author Rämö, Lasse
dc.contributor.author Nietosvaara, Yrjänä
dc.date.accessioned 2022-02-22T07:36:01Z
dc.date.available 2022-02-22T07:36:01Z
dc.date.issued 2021-05-26
dc.identifier.citation Laaksonen , T , Stenroos , A , Puhakka , J , Kosola , J , Kautiainen , H , Rämö , L & Nietosvaara , Y 2021 , ' Casting in finger trap traction without reduction versus closed reduction and percutaneous pin fixation of dorsally displaced, over-riding distal metaphyseal radius fractures in children under 11 years old : A study protocol of a randomised controlled trial ' , BMJ Open , vol. 11 , no. 5 , e045689 . https://doi.org/10.1136/bmjopen-2020-045689
dc.identifier.other PURE: 174411216
dc.identifier.other PURE UUID: 342d8353-dda2-449a-96e4-18b8e5c25b96
dc.identifier.other Scopus: 85106874217
dc.identifier.other PubMed: 34039573
dc.identifier.other WOS: 000764009800007
dc.identifier.other WOS: 000763685300004
dc.identifier.uri http://hdl.handle.net/10138/340742
dc.description Publisher Copyright: ©
dc.description.abstract Introduction Distal radius is the most common site of fracture in children, comprising 23%-31% of all paediatric fractures. Approximately one-fifth of these fractures are displaced. Completely displaced distal metaphyseal radius fractures in children have traditionally been treated with closed reduction. Recent evidence suggests that correcting the shortening in over-riding distal metaphyseal radius fractures is not necessary in prepubertal children. To date, no published randomised controlled trial (RCT) has compared treatment of these fractures in children by casting the fracture in bayonet position to reduction and pin fixation. Methods and analysis We will conduct an RCT to compare the outcomes of casting the fracture in bayonet position in children under 11 years of age to reduction and percutaneous pin fixation. 60 patients will be randomly assigned to casting or surgery groups. We have two primary outcomes. The first is ratio (injured side/non-injured side) in the total active forearm rotation and the second is ratio (injured side/non-injured side) in total active range of motion of the wrist in the flexion-extension plane at 6 months. The secondary outcomes will include axial radiographic alignment, passive extension of the wrists, grip strength and length of forearms and hands, patient-reported outcome QuickDASH and pain questionnaire PedsQL. Patients not willing to participate in the RCT will be asked to participate in a prospective cohort. Patients not eligible for randomisation will be asked to participate in a non-eligible cohort. These cohorts are included to enhance the external validity of the results of the RCT. Our null hypothesis is that the results of the primary outcome measures in the casting group are non-inferior to surgery group. Ethics and dissemination The institutional review board of the Helsinki and Uusimaa Hospital District has approved the protocol. We will disseminate the findings through peer-reviewed publications. Trial registration number NCT04323410. Protocol V.1.1, 29 September 2020. en
dc.format.extent 10
dc.language.iso eng
dc.relation.ispartof BMJ Open
dc.rights cc_by_nc
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject orthopaedic & trauma surgery
dc.subject paediatric orthopaedic & trauma surgery
dc.subject paediatric surgery
dc.subject trauma management
dc.subject 3126 Surgery, anesthesiology, intensive care, radiology
dc.title Casting in finger trap traction without reduction versus closed reduction and percutaneous pin fixation of dorsally displaced, over-riding distal metaphyseal radius fractures in children under 11 years old : A study protocol of a randomised controlled trial en
dc.type Article
dc.contributor.organization HUS Children and Adolescents
dc.contributor.organization Children's Hospital
dc.contributor.organization University of Helsinki
dc.contributor.organization Lastenkirurgian yksikkö
dc.contributor.organization HUS Musculoskeletal and Plastic Surgery
dc.contributor.organization I kirurgian klinikka (Töölö)
dc.contributor.organization Lastentautien yksikkö
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.1136/bmjopen-2020-045689
dc.relation.issn 2044-6055
dc.rights.accesslevel openAccess
dc.type.version publishedVersion

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