DRAFFT
Theme
Body Part
Forearm to WristA broken bone in the wrist is a common injury, often caused when people put their hand out to save themselves during a fall. Some wrist fractures heal well in a cast or splint. But other more serious breaks need surgery, to fix the bones back in the correct position while they heal.
Doctors argue about the best way to hold the broken wrist bone in place while is heals. Some doctors recommend a metal plate with special 'locked' screws. However, other doctors believe that simple metal wires can hold the broken bones just as well.
The DRAFFT study was a randomised controlled trial comparing surgical fixation with a locked plate versus fixation with wires for patients with a fracture of the wrist. The study measured patients' recovery in terms of pain and wrist function. Results were reported at one year, and again at five years to see which method worked better in the long term.
External Links
Here are relevant links to the study...
- [Main Study Result] 'Percutaneous fixation with Kirschner wires versus volar locking plate fixation in adults with dorsally displaced fracture of distal radius: randomised controlled trial' published in BMJ
- [Five-Year Follow-Up] 'Percutaneous fixation with Kirschner wires versus volar locking-plate fixation in adults with dorsally displaced fracture of distal radius: five-year follow-up of a randomized controlled trial' published in The Bone and Joint Journal
- [Extended Study Report] 'UK DRAFFT - A Randomised Controlled Trial of Percutaneous Fixation with Kirschner Wires versus Volar Locking-Plate Fixation in the Treatment of Adult Patients with a Dorsally Displaced Fracture of the Distal Radius' published in NIHR Journals Library
- [Evidence Summary] 'Using wires to fix wrist fracture has good long-term outcome' in NIHR Evidence
- [Cost-Effectiveness Analysis] 'Cost effectiveness of treatment with percutaneous Kirschner wires versus volar locking plate for adult patients with a dorsally displaced fracture of the distal radius: analysis from the DRAFFT trial' published in The Bone and Joint Journal
- [Impact Report] 'Do large pragmatic randomised trials change clinical practice? Assessing the impact of the Distal Radius Acute Fracture Fixation Trial (DRAFFT)' published in The Bone and Joint Journal