Comparing cast versus removable splint for adults with a distal radius fracture that does not require manipulation

Inclusion Criteria:

• Participant is willing and able to give informed consent for participation in the study
• Aged 16 years or above
• Presenting with a fracture of the distal radius which, in the opinion of the treating clinician, does not require a manipulation of the fracture

Exclusion Criteria:

The participant may not enter the study if any one of the following apply:

• They present to research team more than 2 weeks post-injury
• The fracture is open (Gustilo and Anderson >1)
• They are unable to adhere to trial procedures, e.g. patients with permanent cognitive impairment, or other concomitant severe injuries e.g. head injury

If the patient is eligible:

Step by Step Guide to Recruitment:

in normal working hours Monday to Friday

• Please contact the ED Research Team via EPIC chat when an eligible patient presents to ED

Recruitment out of hours and at weekends:

1. Using an ipad or smartphone access the following website: The DRAFT3-CASP Study (digitrial.com)
2. Click on ‘Patient Information Site’ link to open the patient information page in a new tab. Allow the patient to read through it or view the video
3. Go back to the homepage on the previous tab (or use the same link above again to re-open) and click ‘Enrol a new patient’
4. Complete the questionnaires with the patient

**Please note that the first set of questionnaires aims to assess the patient’s level of ability PRIOR to the injury**

5. Once all the necessary data has been captured you will then be given the treatment allocation
6. Document this decision in the notes using either of the following Smartphrases - .DRAFT3CAST or .DRAFT3SPLINT
7. Provide the patient with a Rehab Booklet or ask the Research Team to do this retrospectively via e-mail
8. Inform the clinician looking after the patient if this is not you
9. Send the ED Research Team an EPIC message with the patients details attached, and the team will pick it up the following day

Link for further information:

Click here for trial website
Click here for a 2 minute video animation to explain the study

Training: Please contact the ED Research Team (cuh.edresearchteam@nhs.net) for further information if you would like to be actively involved in recruitment to this Trial
Send the ED Research Team a message via Epic chat "ED research Team" or phone 217907