[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100387336":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":25,"centralContacts":29,"locations":35,"responsibleParty":50,"collaborators":25,"id":55,"slug":56,"hasResults":57,"nctId":58,"briefTitle":59,"officialTitle":60,"acronym":25,"eligibilityCriteria":61,"healthyVolunteers":57,"sex":62,"minAge":25,"maxAge":63,"enrollmentInfo":64,"targetDuration":25,"studyType":67,"phases":68,"briefSummary":70,"conditions":71,"keywords":73,"overallStatus":38,"whyStopped":25,"lastUpdateSubmitDate":78,"lastUpdatePostDateStruct":79,"startDateStruct":82,"completionDateStruct":84,"leadSponsor":86,"locationsCount":87},{"fullName":5,"class":6},"Töölö Hospital","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Cast immobilization","EXPERIMENTAL","In the casting group, padded synthetic dorsal above elbow and volar below elbow splints are applied in ED without local or general anesthesia. Dorsal displacement and shortening of the radius are not corrected, but the forearm is attempted to be manipulated straight during application of the splints. The casted forearm is then supported by a collar and cuff sling. Splints are removed in an outpatient clinic at 4 weeks.\n\nCast immobilization is discontinued after 4 weeks and when the fracture site is nontender. If palpated tenderness is still present, the patient is given a dorsal forearm splint which can be removed (maximum of 2 weeks usage).",[13],"Procedure: Cast immobilization",{"label":15,"type":16,"description":17,"interventionNames":18},"Percutaneus pinning","ACTIVE_COMPARATOR","In the surgery group, a padded dorsal above elbow splint is applied in ED. Reduction and percutaneous pinning are performed under anesthesia in operating room by an experienced attending pediatric orthopedic surgeon within 7 days from the injury. Pin fixation is performed with two 1.6 mm pins. Padded dorsal above elbow and volar below elbow splints are applied. Splints and pins are removed at the outpatient clinic at 4 weeks after surgery.",[19],"Procedure: Percutaneus pinning",[21,26],{"type":22,"name":9,"description":23,"armGroupLabels":24,"otherNames":25},"PROCEDURE","Cast immobilisation is done using finger trap traction. The fractured forearm is splinted above elbow with dorsal cast without attempted reduction.",[9],null,{"type":22,"name":15,"description":27,"armGroupLabels":28,"otherNames":25},"Reduction under fluoroscopic guidance and fixation using two crossing 1.6mm K-wires.",[15],[30],{"name":31,"role":32,"phone":33,"phoneExt":25,"email":34},"Topi Laaksonen, MD","CONTACT","+358 50 427 1654","topi.laaksonen@hus.fi",[36],{"facility":37,"status":38,"city":39,"state":25,"zip":25,"country":40,"countryCode":41,"cosmosGeoPoint":42,"geoPoint":47,"contacts":48},"New Children's Hospital","RECRUITING","Helsinki","Finland","FI",{"type":43,"coordinates":44},"Point",[45,46],24.93545,60.16952,{"lat":46,"lon":45},[49],{"name":31,"role":32,"phone":33,"phoneExt":25,"email":34},{"type":51,"investigatorFullName":52,"investigatorTitle":53,"investigatorAffiliation":54,"oldNameTitle":25,"oldOrganization":25},"PRINCIPAL_INVESTIGATOR","Topi Laaksonen","Principal Investigator","Helsinki University Central Hospital","100387336","casting-versus-percutaneus-pinning-treatment-of-pediatric-overriding-distal-forearm-fractures-100387336",false,"NCT04323410","Casting Versus Percutaneus Pinning Treatment of Pediatric Overriding Distal Forearm Fractures","Casting in Finger-trap Traction Without Reduction Versus Closed Reduction and Percutaneous Pin Fixation of Dorsally Displaced, Overriding Distal Metaphyseal Radius Fractures in Under Eleven Years Old Children","Inclusion Criteria:\n\n* Child with open epiphysis with closed overriding metaphyseal distal radial fracture with or without an associated fracture of the ulna\n* Normal communication development (languages Finnish, Swedish, English)\n\nExclusion Criteria:\n\n* Bilateral forearm injuries\n* Gustillo-Anderson grade II or III open fracture\n* Galeazzi fracture-dislocation\n* Polytrauma\n* Neurovascular injury of the ipsilateral upper extremity\n* History of a displaced forearm fracture\n* Underlying disease affecting fracture healing","ALL","10 Years",{"count":65,"type":66},60,"ESTIMATED","INTERVENTIONAL",[69],"NA","This is a randomized controlled trial comparing casting in finger-trap traction without reduction versus closed reduction and percutaneous pin fixation of dorsally displaced, overriding distal metaphyseal radius fractures in under eleven years old children.",[72],"Pediatric Overriding Distal Metaphyseal Radius Fractures",[74,75,76,77],"bayonet fracture","paediatric fracture","distal forearm fracture","overriding fracture","2026-03-22",{"date":80,"type":81},"2026-03-25","ACTUAL",{"date":83,"type":81},"2020-06-29",{"date":85,"type":66},"2027-03-31",{"name":5,"class":6},1]