The DRAFT3-CASP trial will look at distal radius fractures in adults that are undisplaced and do not require surgery. The previous draft study (DRAFFT2) looked at two different ways to hold the bones in place after surgery was performed to manipulate displaced wrist fractures. They typically affect older populations with 6% of all women having sustained this type of fracture by the age of 80, and 9% by the age of 90. BackgroundÄistal radius wrist fractures affect over 100,000 people in the UK each year. The trial will help us find out if a removable splint can provide the same support as a plaster cast for undisplaced distal radius fractures. ![]() The participants will be followed-up for 1 year following their recruitment to the trial and will complete a series of questionnaires in order to record their health related quality of life, wrist function and any costs incurred to them as a result of their injury. This study aims to recruit a minimum of 1894 participants across 36 centres. However, if the splint does not provide patients the same support as a cast, the patient may have inferior function in their wrist. The splint can be removed by the patient themselves and so would not require the patient to return to hospital and could save money for the NHS. Some evidence has recently shown that a removable wrist splint may provide the same support as a cast whilst the fracture heals. The patient will then return at around 4-6 weeks to have this cast removed. ![]() The patient would then be referred to the fracture clinic where this cast is converted into a full, circumferential cast. ![]() Usual care for this population is to provide the patients with a temporary backslab plaster cast in the emergency department.
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