Remote Monitoring for Broken Wrist

Overseen By Bryce F. Rizvanović, BS, CCRP

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: University of Missouri-Columbia

Disqualifiers: Prior wrist/hand injury, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 3

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial investigates whether remote monitoring, using a digital platform for follow-up, can safely and effectively replace traditional in-person doctor visits after surgery for broken wrists. It aims to determine if virtual check-ups can match in-person visits in terms of recovery, patient satisfaction, and complication avoidance. One group will report their progress through a digital platform, while the other will attend regular face-to-face appointments. Ideal participants are adults who have undergone surgery for a broken wrist and have access to a smartphone or computer for online check-ins. As an unphased trial, this study offers participants the opportunity to contribute to innovative healthcare solutions that could enhance recovery experiences for future patients.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that remote monitoring follow-up is safe for postoperative care?

Research shows that remote check-ups after wrist surgery are generally safe. Studies have found that telemedicine follow-ups are easy for patients to use and result in high satisfaction. These systems save time and money while effectively addressing concerns. Patients should contact their healthcare team if any issues arise, as safety remains a top priority. So far, remote monitoring has not shown any serious safety problems in similar situations. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about the remote monitoring follow-up for broken wrists because it offers a digital, convenient alternative to traditional in-person visits. Unlike the standard practice, which involves multiple clinic visits for check-ups, this method allows patients to complete follow-ups from the comfort of their home using a digital health platform. Patients can measure their grip strength, submit wrist motion videos, and complete electronic surveys, making the process more accessible and less time-consuming. This approach could potentially lead to greater patient satisfaction and adherence, as well as more flexible and efficient use of healthcare resources.

What evidence suggests that remote monitoring follow-up is effective for broken wrist recovery?

This trial will compare remote monitoring follow-up with in-person standard follow-up for patients recovering from wrist surgery. Research has shown that remote check-ups after wrist surgery can be as effective as traditional in-person visits. Studies have found that virtual check-ups lead to similar recovery outcomes and patient satisfaction compared to face-to-face appointments. Evidence suggests that patients using remote monitoring experience low complication rates and enjoy the convenience without compromising care quality. Additionally, remote follow-ups allow patients to easily contact their medical team with questions, offering a flexible and responsive way to receive care. Overall, remote monitoring may provide a safe and effective method for managing recovery after wrist surgery. ^{1 2 3 6 7}

Who Is on the Research Team?

Daniel A. London, MD

Principal Investigator

University of Missouri-Columbia

Are You a Good Fit for This Trial?

This trial is for individuals who have had surgery to fix a broken wrist, specifically a distal radius fracture. It's designed to see if monitoring patients remotely after their operation is as good as the usual in-person hospital visits.

Inclusion Criteria

Access to smartphone/computer

I had surgery for a broken wrist bone.

I am 18 years old or older.

Exclusion Criteria

Prior significant wrist/hand injury

Lack of internet access

My surgeon decided my injury doesn't fit the trial's criteria.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Postoperative Follow-up

Participants undergo follow-up assessments through either remote monitoring or in-person visits at 6 weeks, 3 months, and 6 months post-surgery.

6 months

3 visits (in-person or virtual)

Follow-up

Participants are monitored for safety and effectiveness after treatment, including review of adverse events and complications.

6 months

What Are the Treatments Tested in This Trial?

Interventions

• Remote Monitoring Follow-Up

Trial Overview The study compares two types of follow-up care after wrist surgery: one group gets checked on through remote monitoring systems, while the other group has traditional face-to-face appointments with their doctors.

How Is the Trial Designed?

Group I: Remote Monitoring Follow-Up Experimental Treatment 1 Intervention

Participants in this arm will complete postoperative follow-up through a digital health platform. At 6 weeks, 3 months, and 6 months after surgery, they will complete electronic PROMs , measure grip strength using a dynamometer, and submit short wrist range-of-motion videos for remote evaluation. Participants will be instructed to contact the clinical team if any concerns arise.

Group II: In-Person Standard Follow-Up Active Control 1 Intervention

Participants in this arm will attend routine postoperative clinic visits at 6 weeks, 3 months, and 6 months, following standard of care for distal radius fracture management. At each visit, PROMs will be completed, and grip strength and range of motion will be measured by the clinical team. Care decisions and management will follow institutional standards for in-person postoperative evaluation

Who Is Running the Clinical Trial?

University of Missouri-Columbia

Lead Sponsor

Trials

387

Recruited

629,000+

Citations

1. clinicaltrials.gov clinicaltrials.gov/study/NCT07219979

Evaluating the Effectiveness of Remote Monitoring for Post- ... This randomized controlled trial evaluates whether remote monitoring can provide a safe and effective alternative to traditional in-person ...

2. ctv.veeva.com ctv.veeva.com/study/evaluating-the-effectiveness-of-remote-monitoring-for-post-operative-management-of-distal-radius-fra

Evaluating the Effectiveness of Remote Monitoring for Post ... This single-center, randomized controlled trial investigates the feasibility, safety, and effectiveness of a virtual postoperative follow-up ...

3. withpower.com withpower.com/trial/phase-wrist-fractures-11-2025-0bb26

Remote Monitoring for Broken Wrist · Info for Participants The study compares functional outcomes, patient satisfaction, and complication rates between patients who receive virtual follow-up care and those who attend ...

4. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC6662608/

The relationship between hand therapy and long-term ... The aim of this project is to use data collected as part of the multicenter, international Wrist and Radius Injury Surgical Trial (WRIST) to assess the ...

5. sciencedirect.com sciencedirect.com/science/article/abs/pii/S003194062400395X

a randomized controlled trial with a 2-year follow-up At the 6-week and 1-year follow-up, supervised physiotherapy was more effective for functional improvement and pain relief compared with a home exercise ...

6. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC10387677/

Virtual Follow up After Distal Radius Fracture Surgery ... Recent studies have indicated that telemedicine systems appear to be safe for postoperative visits, saving time and money, and resulting in high satisfaction ...

7. sciencedirect.com sciencedirect.com/science/article/pii/S0894113025000675

Development of an online exercise and education program ... The Hands Up Program is an exercise and education intervention for people 6-10 weeks after a distal radius fracture (DRF) to support their DRF rehabilitation.