Due to the large variation in advisements for treatment for non-reduced DRF, the usual practice is often four to five weeks of immobilization for non-reduced DRF. Existing evidence for one- week immobilization shows that one week of immobilization is safe and does not lead to more secondary displacement. However, there is lack of evidence on functional outcome, pain and pain medication use and time to return to activities and work after non-operative treatment for non-reduced DRF. The interest for shorter immobilization periods for these fractures is high and several (nine) hospitals are very willing to participate in this national study. In addition, one of the largest associations for trauma surgery, the Orthopedic Trauma association, awarded this study with an international grant.
Additionally, shorter immobilization periods for non-reduced DRF may also be cost-effective. Shorter immobilization periods may lead to less outpatient clinic visits, less home care for elderly people and may lead to earlier return to work and other social activities.
In this study, we aim to successfully implement one week of plaster cast immobilization for non-reduced DRF in twelve centers and to evaluate the functional outcome and cost- effectiveness.