Do patients with minimally displaced distal radial fractures need a plaster cast?

Matt L Costa, Andy Appelboam, Nick A Johnson, Inger Mechlenburg, Per H Gundtoft

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaperJournal articleResearchpeer-review

Abstract

Traditionally, patients with a fracture of the distal radius are treated in a cast if they do not require surgery. If the fracture requires manipulation, the cast is moulded to hold the reduction and maintain normal anatomical alignment during healing. However, is a cast necessary for patients whose fracture does not require manipulation? Removable splints are an alternative treatment option. Such splints have the advantage that they can be adjusted to improve fit around the wrist as swelling reduces, and can be removed and reapplied for the purpose of washing or, in some cases, exercise. However, evidence for their safety and effectiveness in the management of distal radius fractures is lacking. DRAFT3 is a multicentre randomized non-inferiority trial and economic analysis designed to determine the safety and effectiveness of removable splints as an alternative to casts in the treatment of distal radius fractures that do not require manipulation.

Original languageEnglish
JournalThe bone & joint journal
Volume107-B
Issue1
Pages (from-to)7-9
Number of pages3
ISSN2049-4394
DOIs
Publication statusPublished - 1 Jan 2025

Keywords

  • Humans
  • Casts, Surgical
  • Radius Fractures/therapy
  • Splints

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