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A multicentre prospective randomized equivalence trial of a soft bandage and immediate discharge versus current treatment with rigid immobilization for torus fractures of the distal radius in children
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Achten, Juul, Knight, Ruth, Dutton, Susan J., Costa, Matthew L., Mason, James, Dritsaki, Melina, Appelbe, Duncan, Messahel, Shrouk, Roland, Damian, Widnall, James and Perry, Daniel C. (2020) A multicentre prospective randomized equivalence trial of a soft bandage and immediate discharge versus current treatment with rigid immobilization for torus fractures of the distal radius in children. Bone & Joint Open, 1 (6). pp. 214-221. doi:10.1302/2046-3758.16.BJO-2020-0014.R1 ISSN 2633-1462.
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WRAP-multicentre-prospective-randomized-equivalence-trial-soft-bandage-immediate-discharge-Mason-2020.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution Non-commercial No Derivatives 4.0. Download (148Kb) | Preview |
Official URL: https://doi.org/10.1302/2046-3758.16.BJO-2020-0014...
Abstract
Aims
Torus fractures are the most common childhood fracture, accounting for 500,000 UK emergency attendances per year. UK treatment varies widely due to lack of scientific evidence. This is the protocol for a randomized controlled equivalence trial of ‘the offer of a soft bandage and immediate discharge’ versus ‘rigid immobilization and follow-up as per the protocol of the treating centre’ in the treatment of torus fractures.
Methods
Children aged four to 15-years-old inclusive who have sustained a torus/buckle fracture of the distal radius with/without an injury to the ulna are eligible to take part. Baseline pain as measured by the Wong Baker FACES pain scale, function using the Patient-Reported Outcomes Measurement Information System (PROMIS) upper limb, and quality of life (QoL) assessed with the EuroQol EQ-5D-Y will be collected. Each patient will be randomly allocated (1:1, stratified by centre and age group (four to seven years and ≥ eight years) to either a regimen of the offer of a soft bandage and immediate discharge or rigid immobilization and follow-up as per the protocol of the treating centre.
Results
At day one, three, and seven, data on pain, function, QoL, immobilization, and analgesia will be collected. Three and six weeks after injury, the main outcomes plus data on complications, resource use, and school absence will be collected. The primary outcome is the Wong-Baker FACES pain scale at three days post-randomization. All data will be obtained through electronic questionnaires completed by the participants and/or parents/guardian.
| Item Type: | Journal Article | |||||||||
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| Subjects: | R Medicine > RD Surgery | |||||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Radius (Anatomy) -- Fractures, Pediatric orthopedics | |||||||||
| Journal or Publication Title: | Bone & Joint Open | |||||||||
| Publisher: | British Editorial Society of Bone and Joint Surgery | |||||||||
| ISSN: | 2633-1462 | |||||||||
| Official Date: | 8 June 2020 | |||||||||
| Dates: |
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| Volume: | 1 | |||||||||
| Number: | 6 | |||||||||
| Page Range: | pp. 214-221 | |||||||||
| DOI: | 10.1302/2046-3758.16.BJO-2020-0014.R1 | |||||||||
| Status: | Peer Reviewed | |||||||||
| Publication Status: | Published | |||||||||
| Access rights to Published version: | Open Access (Creative Commons) | |||||||||
| Date of first compliant deposit: | 7 September 2020 | |||||||||
| Date of first compliant Open Access: | 8 September 2020 | |||||||||
| RIOXX Funder/Project Grant: |
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