FORCELancet (London, England) 2022
Immobilisation of torus fractures of the wrist in children (FORCE): a randomised controlled equivalence trial in the UK
Pain at 3 days was equivalent between the bandage and rigid immobilisation groups in both intention-to-treat and per-protocol analyses.
Randomised trialManagementUpper limb trauma
DRAFFT2BMJ (Clinical research ed.) 2022
Surgical fixation with K-wires versus casting in adults with fracture of distal radius: DRAFFT2 multicentre randomised clinical trial
There was no significant difference in PRWE at 12 months between K-wires and casting, though a minority of cast patients later needed surgery for loss of position.
Randomised trialManagementUpper limb trauma
CROSSFIREJAMA surgery 2021
Surgical Plating vs Closed Reduction for Fractures in the Distal Radius in Older Patients: A Randomized Clinical Trial
There was no clinically important difference in PRWE at 12 months between plating and casting, and no clinically important differences in quality of life.
Randomised trialManagementUpper limb trauma
FISHJAMA 2020
Effect of Surgery vs Functional Bracing on Functional Outcome Among Patients With Closed Displaced Humeral Shaft Fractures: The FISH Randomized Clinical Trial
There was no clinically important difference in DASH at 12 months; bracing had a higher non-union rate, with some patients later converted to surgery.
Randomised trialManagementUpper limb trauma
DRAFFTBMJ (Clinical research ed.) 2014
Percutaneous fixation with Kirschner wires versus volar locking plate fixation in adults with dorsally displaced fracture of distal radius: randomised controlled trial
There was no clinically relevant or statistically significant difference in PRWE at 3, 6 or 12 months, nor in quality of life or complication numbers.
Randomised trialManagementUpper limb trauma
Robinson clavicle RCTThe Journal of bone and joint surgery. American volume 2013
Open reduction and plate fixation versus nonoperative treatment for displaced midshaft clavicular fractures: a multicenter, randomized, controlled trial
Plate fixation markedly reduced non-union and gave slightly better DASH and Constant scores at 1 year, but these functional differences disappeared once patients with non-union were excluded.
Randomised trialManagementUpper limb trauma
Arora volar plate vs cast (65+)The Journal of bone and joint surgery. American volume 2011
A prospective randomized trial comparing nonoperative treatment with volar locking plate fixation for displaced and unstable distal radial fractures in patients sixty-five years of age and older
Plating gave better early PRWE and DASH scores and better grip strength throughout, but by 12 months there was no significant difference in range of motion, pain, PRWE or DASH; anatomical reconstruction did not translate into better motion or daily function.
Randomised trialManagementUpper limb trauma
COTS clavicle trialThe Journal of bone and joint surgery. American volume 2007
Nonoperative treatment compared with plate fixation of displaced midshaft clavicular fractures. A multicenter, randomized clinical trial
Plate fixation gave significantly better Constant and DASH scores, faster union and lower rates of non-union and symptomatic malunion than sling treatment.
Randomised trialManagementUpper limb trauma
Sarmiento functional bracingThe Journal of bone and joint surgery. American volume 2000
Functional bracing for the treatment of fractures of the humeral diaphysis
The large majority of fractures united with bracing, with non-union uncommon and residual angulation usually functionally and cosmetically acceptable.
Cohort studyManagementUpper limb trauma