Abstract | BACKGROUND: The purpose of this prospective randomized study was to compare a new reverse sugar tong splint technique with a below-arm cast, in terms of patient radiological and clinical outcomes. METHODS: One hundred and forty patients who presented to our clinic between April 2017 and March 2019 were randomly divided into two groups: 70 received reverse sugar tong (RST group) and 70 received below arm cast (BAC group). Clinical and radiological follow-up was performed 7-10 days, three weeks, 5 or 6 weeks, 12 weeks and one year after the treatment. Clinical outcomes including wrist range of motion, complication rates, Health Assessment Questionnaire ( HAQ) score at end of treatment, Disabilities of the Arm, Shoulder, and Hand (Q-DASH) questionnaire and Mayo Elbow Performance score (MEPS) score at 12 weeks and last follow-up. RESULTS: Finally, sixty-five patients were treated with BAC, and their average age was 58.2 years and sixty-two patients with an average age of 57.4 years were treated with RST were completed the radiological and clinical one-year follow-up. There were no significant differences in range of motion, radiological parameters, the Q-DASH and MEPS scores between the groups the 12th week and last visit; however, the HAQ score was significantly higher in the cast group during the 6th visit (p < 0.001). The BAC group had a higher complication rate (40%) than the RST group (19.3%) (p = 0.01). CONCLUSION: Patient treated with RST had a higher functional status at end of treatment and lower complications when comparing traditional below arm cast. LEVEL OF EVIDENCE: Level I prognostic randomized controlled trial.
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Authors | Savaş Çamur, Serkan Bayram, Ömer Polat, Muhammet Sefa Özcan, Sefa Giray Batıbay |
Journal | Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association
(J Orthop Sci)
Vol. 26
Issue 5
Pg. 804-811
(Sep 2021)
ISSN: 1436-2023 [Electronic] Japan |
PMID | 32962906
(Publication Type: Journal Article, Randomized Controlled Trial)
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Copyright | Copyright © 2020 The Japanese Orthopaedic Association. Published by Elsevier B.V. All rights reserved. |
Chemical References |
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Topics |
- Casts, Surgical
- Conservative Treatment
- Humans
- Middle Aged
- Prospective Studies
- Radius Fractures
(diagnostic imaging, therapy)
- Range of Motion, Articular
- Splints
- Sugars
- Treatment Outcome
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