Distal Radius Fractures
Conditions
Brief summary
This study aims to compare the clinical and radiological outcomes of distal radius fractures treated with cross K-wire fixation using the antegrade versus retrograde technique. Adult patients with extra-articular distal radius fractures will be randomly assigned to one of the two surgical approaches. The primary outcomes include fracture stability, functional recovery, and complication rates. The study is designed as a prospective, randomized controlled trial conducted at sohag university
Interventions
PROCEDUREAntegrade versus retrograde cross k-wire
\> Closed reduction of distal radius fracture followed by percutaneous insertion of two or more K-wires in an antegrade direction (from proximal to distal), crossing the fracture site under fluoroscopic guidance. The wires are introduced from the radial metaphysis and directed distally to stabilize the fracture.
Sponsors
Sohag University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
A randomized controlled trial using a parallel assignment model. Participants will be randomly assigned to one of two groups: Group A will undergo cross K-wire fixation using the antegrade technique, and Group B will undergo the retrograde technique. Outcomes will be compared between the two groups.
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
Patients with extra-articular distal radius fractures. Fractures classified as Frykmann type 1 and type 2. Patients aged 18 years and above.
Exclusion criteria
* Skeletally immature patient. * Intra-articular distal radius fractures. * Communited fractures. * Open fractures or fractures with neurovascular compromise. * Patients with fractures requiring surgical interventions other than K-wire fixation. * Patients with a history of infection or other conditions impair wound healing.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Radiological union of distal radius fracture | At 6 weeks, 3 months, and 6 months postoperatively | Radiographic healing will be assessed using standard X-rays to evaluate union status. Radiographs will be reviewed for signs of cortical continuity and absence of fracture lines |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Functional outcome using DASH score | At 6 weeks, 3 months, and 6 months postoperatively | Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire will be used to assess upper limb function |
| Pain level using Visual Analog Scale (VAS) | At 1 week, 6 weeks, 3 months, and 6 months postoperatively | Pain will be evaluated using the Visual Analog Scale (0-10), with 0 indicating no pain and 10 indicating worst pain |
Contacts
Primary ContactMontasser T Omar, resident
Backup ContactElshazly S Mousa, professer
Outcome results
None listed