PRediction of Outcome With ED Intervention for Colles Type Wrist Fractures [PREDICT]

Launched by ROYAL DEVON AND EXETER NHS FOUNDATION TRUST · Feb 28, 2019

Keywords

ClinConnect Summary

Many thousands of patients attend emergency departments (ED) with displaced (deformed) wrist fractures and undergo closed manipulation under local anaesthetic (MUA) in the ED. Local audit suggests between 25-40% of these manipulated fractures slip back into an unacceptable position (unstable fractures) and require a subsequent open operation to reduce and pin or plate the bone (ORIF). There is some evidence that the degree of initial deformity and other factors might predict instability but this is neither well established nor well researched. Reliably predicting which fractures are likely ...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • All Adult patients who have under gone a planned ED MUA for a distal radial fracture over a two year period (anonymous data from a previously conducted service evaluation)
• Exclusion Criteria:
• • Smiths' (volarly displaced) fractures
• • Those for whom there is no follow up data in the database eg. Patients who were followed up elsewhere.
• • Open (compound) fractures (need open surgery to wash out and treat)
• • Fractures requiring emergency manipulation due to threatened skin or neurovascular compromise.