Trial reportJournal of orthopaedic surgery and research2025
Removable brace is as good as plaster cast after surgically treated distal radius fracture - a randomised controlled study of pain and wrist function.
Trial report in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03749174 (Radius Fracture Anesthesia and Rehabilitation), which is not on this map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Radius Fracture Anesthesia and Rehabilitation (RADAR)
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA distal radius fracture (DRF) is one of the most common fractures and is often treated with open reduction and volar-plate fixation, followed by immobilisation with a cast. Both the type and length of immobilisation are still the subject of debate, and studies investigating a prefabricated brace as an alternative to a cast are lacking. The aim of this study was to evaluate and compare the outcomes in terms of patients’ perceived disability, pain and grip strength, in patients treated with conventional immobilisation using a plaster cast compared with a prefabricated, stable wrist brace. The hypothesis was that the brace would have equal effect compared to the traditional cast regarding perceived disability, pain and grip strength.
methodsThe study is a randomised controlled study (RCT), in which 60 patients were allocated to two groups, to either a cast or a prefabricated brace, following surgery after a distal radius fracture. The patients were assessed at five follow-ups in terms of perceived disability, pain and grip strength.
resultsThe analysis of equivalence between the cast group and the brace group showed that the outcomes in the groups can be regarded as equivalent, since all the minimal clinical important differences (MCID) limits were outside the confidence range of differences (p < 0.05). This indicates that there is no difference in terms of a cast or brace in either patients’ perceived disability, pain or grip strength at the measured time points.
conclusionsA prefabricated, removable brace was shown to be an equally good choice for immobilisation as a cast, following surgery after distal radius fracture, in terms of patients’ perceived disability, pain and grip strength.
trial registrationFoU i VGR, project number: 228311, registered 13 June 2017, https://www.researchweb.org/is/vgr/project/228311 . Retrospectively registered at http://www.clinicaltrials.gov (NCT03749174) on 21 November 2018 with information on inclusion start 3 September 2018.
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