Comparison between Surgical Treatments of Distal Radius Fracture and Investigation of their Skin Complications

Comparison between “External Fixation” and “Percutaneous Pinning” in the Treatment of Distal Radius Fractures and Investigation of their Skin Complications: A Randomized Clinical Trial

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

IRCT

Registry ID

IRCT20211107052989N1

Enrollment

Registered

2021-11-25

Start date

2021-11-22

Completion date

Unknown

Last updated

2021-11-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Distal Radius Fracture (DRF). Fracture of lower end of radius

Interventions

Intervention 1: Intervention group: Percutaneous pinning: we will use two or three wires to fix the fracture. One in the styloid process of radius and the other in the ulnar side of radius. Interventi

Then we will bridge the radiocarpal joint using external fixator.

Eligibility

Sex/Gender

All

Age

18 Years to 65 Years

Inclusion criteria

Inclusion criteria: Closed Distal Radius Fracture Extra-articular Distal Radius Fracture

Exclusion criteria

Exclusion criteria: Unstable Distal Radius Fracture Multiple Fractures Previous Distal Radius Fracture Peripheral Neuropathy Rheumatoid Arthritis Metabolic bone diseases (e.g. Osteomalacia, Osteoporosis) Diabetes

Design outcomes

Primary

Measure	Time frame
Wrist range of motion. Timepoint: 6 weeks, 3 months, 6 months after surgery. Method of measurement: goniometer.;Damage or rupture of extensor pollicis longus tendon. Timepoint: 2 weeks, 6 weeks, 3 months, 6 months after surgery. Method of measurement: physical examination.;Radial or median nerve neuropathy. Timepoint: 2 weeks, 6 weeks, 3 months, 6 months after surgery. Method of measurement: physical examination.;Pin site infection. Timepoint: 2 weeks, 6 weeks, 3 months, 6 months after surgery. Method of measurement: DAHL classification of pin site infection.;Complex regional pain syndrome. Timepoint: 2 weeks, 6 weeks, 3 months, 6 months after surgery. Method of measurement: physical examination.;Irritant or allergic contact dermatitis in the presence of pins and casts. Timepoint: 2 weeks, 6 weeks, 3 months, 6 months after surgery. Method of measurement: physical examination.;Hypertrichosis. Timepoint: 2 weeks, 6 weeks, 3 months, 6 months after surgery. Method of measurement: physical examination.;Quantitive assessment of response to treatment and patient function. Timepoint: 2 weeks, 6 weeks, 3 months, 6 months after surgery. Method of measurement: Mayo score.;Severity of disability. Timepoint: 2 weeks, 6 weeks, 3 months, 6 months after surgery. Method of measurement: The Disabilities of the Arm, Shoulder and Hand (DASH) Score.;Volar tilt. Timepoint: 2 weeks, 6 weeks, 3 months, 6 months after surgery. Method of measurement: wrist anteroposterior (AP) and lateral view x-ray.;Ulnar (Hulten) variance. Timepoint: 2 weeks, 6 weeks, 3 months, 6 months after surgery. Method of measurement: wrist anteroposterior (AP) and lateral view x-ray.;Radial shortening. Timepoint: 2 weeks, 6 weeks, 3 months, 6 months after surgery. Method of measurement: wrist anteroposterior (AP) and lateral view x-ray.;Radial deviation. Timepoint: 2 weeks, 6 weeks, 3 months, 6 months after surgery. Method of measurement: wrist anteroposterior (AP) and lateral view x-ray.	—

Measure

Time frame

Wrist range of motion. Timepoint: 6 weeks, 3 months, 6 months after surgery. Method of measurement: goniometer.;Damage or rupture of extensor pollicis longus tendon. Timepoint: 2 weeks, 6 weeks, 3 months, 6 months after surgery. Method of measurement: physical examination.;Radial or median nerve neuropathy. Timepoint: 2 weeks, 6 weeks, 3 months, 6 months after surgery. Method of measurement: physical examination.;Pin site infection. Timepoint: 2 weeks, 6 weeks, 3 months, 6 months after surgery. Method of measurement: DAHL classification of pin site infection.;Complex regional pain syndrome. Timepoint: 2 weeks, 6 weeks, 3 months, 6 months after surgery. Method of measurement: physical examination.;Irritant or allergic contact dermatitis in the presence of pins and casts. Timepoint: 2 weeks, 6 weeks, 3 months, 6 months after surgery. Method of measurement: physical examination.;Hypertrichosis. Timepoint: 2 weeks, 6 weeks, 3 months, 6 months after surgery. Method of measurement: physical examination.;Quantitive assessment of response to treatment and patient function. Timepoint: 2 weeks, 6 weeks, 3 months, 6 months after surgery. Method of measurement: Mayo score.;Severity of disability. Timepoint: 2 weeks, 6 weeks, 3 months, 6 months after surgery. Method of measurement: The Disabilities of the Arm, Shoulder and Hand (DASH) Score.;Volar tilt. Timepoint: 2 weeks, 6 weeks, 3 months, 6 months after surgery. Method of measurement: wrist anteroposterior (AP) and lateral view x-ray.;Ulnar (Hulten) variance. Timepoint: 2 weeks, 6 weeks, 3 months, 6 months after surgery. Method of measurement: wrist anteroposterior (AP) and lateral view x-ray.;Radial shortening. Timepoint: 2 weeks, 6 weeks, 3 months, 6 months after surgery. Method of measurement: wrist anteroposterior (AP) and lateral view x-ray.;Radial deviation. Timepoint: 2 weeks, 6 weeks, 3 months, 6 months after surgery. Method of measurement: wrist anteroposterior (AP) and lateral view x-ray.

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Countries

Iran (Islamic Republic of)

Contacts

Public ContactMehran Khazaei

Gonabad University of Medical Sciences

Khazaei.m.stu@gmu.ac.ir+98 51 5722 3967

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026