Topic: Surgery
Conditions
Interventions
Participants are randomly allocated to one of two groups, who will receive a different type of open reduction internal fixation (ORIF) surgery.
Group 1: Participants undergo bicortical fixation (stan
Sponsors
University Hospital Birmingham NHS Foundation Trust
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Aged 18 or over 2. Metacarpal diaphyseal fractures that require plate fixation 3. Patients undergoing anaesthesia with axillary brachial plexus regional blocks 4. Acute injury (within 72 hours)
Exclusion criteria
Exclusion criteria: 1. Under 18 years of age 2. Deemed not competent to sign the consent forms 3. Pathologic fracture or a previous fracture of the same metacarpal 4. Other injury to the same upper limb requiring surgery 5. Major nerve injury (e.g., median, ulnar or radial) 6. Multi-trauma or -fractured patient 7. Revision procedure 8. Pregnant patient 9. Current or prior history of malignancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Fracture union is assessed at 6 weeks and 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Complication rate is monitored continually throughout study 2. Fluroscopy exposure is measured during surgery 3. Implant failure is measured at 6 weeks and 6 months 4. Post operative stiffness is measured at 6 weeks and 6 months 5. Surgical time is measured during surgery | — |
Countries
United Kingdom
Contacts
Public ContactMark Foster
Outcome results
None listed