Repair or Not Repair Pronator Quadratus in the Volar Plating of Distal Radial Fracture Are Functional Outcomes Differ ? (PQ)

The recruitment status of this study is unknown because the information has not been verified recently.
Verified May 2012 by National Taiwan University Hospital.
Recruitment status was  Active, not recruiting
Sponsor:
Information provided by (Responsible Party):
National Taiwan University Hospital
ClinicalTrials.gov Identifier:
NCT01593813
First received: May 4, 2012
Last updated: May 7, 2012
Last verified: May 2012
  Purpose

The theoretical benefits of the repair of the pronator quadratus include flexor tendon protection, remain of the normal pronation-supination range of motion (ROM) and strength, and keeping the stable DRUJ.

Repair or not repair pronator quadratus in the volar plating of distal radial fracture-Are functional outcomes differ?


Condition
Distal Radius Fracture

Study Type: Observational
Study Design: Observational Model: Cohort
Time Perspective: Prospective
Official Title: Repair or Not Repair Pronator Quadratus in the Volar Plating of Distal Radial Fracture-Are Functional Outcomes Differ ?

Resource links provided by NLM:


Further study details as provided by National Taiwan University Hospital:

Estimated Enrollment: 100
Study Start Date: May 2012
Estimated Study Completion Date: March 2013
Estimated Primary Completion Date: March 2013 (Final data collection date for primary outcome measure)
Detailed Description:

In the operation of distal radial fractures, the volar plating techniques become popular. During the surgical approach, the pronator quadratus (PQ) muscle needs split or full-thickness strip to exposure the fracture site and facilitate the instrumentation of the plate. Generally, the PQ would be repaired. Sometimes, the PQ is damaged by the fracture fragment so severely that it is difficult to repair the PQ. However, there is few reviews paper to discuss the consequence of the unrepaired or repaired PQ and the AAOS guideline1 of the treatment of distal radial fracture in 2009 did not even list the management of the PQ. The function of the PQ includes pronation and stability of the distal radial-ulnar joint (DRUJ). According to the study, the elimination of PQ function will cause a significant decrease in pronation torque, which is supposed to affect the function of the wrist in the daily life. The theoretical benefits of the repair of the pronator quadratus include flexor tendon protection3,4, remain of the normal pronation-supination range of motion (ROM) and strength, and keeping the stable DRUJ.

  Eligibility

Ages Eligible for Study:   20 Years to 80 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population

patient with distal radius fracture

Criteria

Inclusion Criteria:

  • ≧ 20 or ≦ 80-years-old adult patients
  • Cooperative to evaluation
  • Distal radial fracture, fresh, single fracture
  • Volar plating

Exclusion Criteria:

  • < 20 or > 80-years-old patients
  • Uncooperative adult, such as dementia
  • Old fracture, more than 1 Week
  • Multiple fractures
  • Pathological fracture
  • Surgery other then volar plating
  Contacts and Locations
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Please refer to this study by its ClinicalTrials.gov identifier: NCT01593813

Sponsors and Collaborators
National Taiwan University Hospital
Investigators
Study Chair: Jui-sheng Sun, PHD Department of Orthopedics of NTUH
  More Information

No publications provided

Responsible Party: National Taiwan University Hospital, Zheng Ren Dong
ClinicalTrials.gov Identifier: NCT01593813     History of Changes
Other Study ID Numbers: PQ repair
Study First Received: May 4, 2012
Last Updated: May 7, 2012
Health Authority: Taiwan: Institutional Review Board

Keywords provided by National Taiwan University Hospital:
Pronator quadratus
distal radius fracture
volar plating

Additional relevant MeSH terms:
Fractures, Bone
Radius Fractures
Wounds and Injuries
Forearm Injuries
Arm Injuries

ClinicalTrials.gov processed this record on July 20, 2014