Distal Ulna Fracture
Conditions
Keywords
Distal ulna fractures, Dual fixation
Brief summary
Although isolated fixation methods, such as intramedullary nails or plate fixation, are commonly employed, certain fracture patterns-particularly comminuted, osteoporotic, or unstable fractures- represent a challenge to achieve stable fixation and restoring normal anatomy . Dual fixation, combining an intramedullary nail with a low-profile 2.7-mm mini locked plate, aims to capitalize on the strengths of both techniques-a concept known as "orthogonal or hybrid stabilization". This combined approach provides enhanced biomechanical stability, allows for early mobilization by sharing the mechanical load, and minimizes the risk of non-union or hardware failure. Studying the clinical and radiological outcomes of this dual fixation strategy is essential to establish its efficacy and safety in managing complex distal ulna fractures.
Interventions
PROCEDUREDual fixation of distal ulna fractures by flexible intramedullary nail and mini locked plate 2.7 mm
Evaluation of dual fixation of distal ulna fractures by flexible intramedullary nail and mini locked plate 2.7 mm.
Sponsors
Sohag University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Displaced distal ulna fractures either isolated or with associated distal radius fractures. * Unstable distal ulna fractures * Age group: \[Adults aged 18 years and older\].
Exclusion criteria
* Open fractures with severe soft tissue injury (Gustilo type III). * Pathological fractures. * Patients with systemic conditions affecting bone healing e.g. uncontrolled diabetes and severe osteoporosis.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Radiological union | 24 Weeks | Number of patients achieving complete bone healing as assessed by serial X-rays (presence of bridging callus on 3 out of 4 cortices). Unit of Measure: Number of Participants. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mean Hand Grip Strength | 24 weeks | Measurement of the physical force of the hand using a calibrated Jamar hydraulic hand dynamometer. The average of three successive trials with the affected hand will be recorded. Unit of Measure: Kilograms. |
| Range of Motion (ROM) of the affected joint (wrist) | 24 weeks | Clinical measurement of the degree of movement in the joint (flexion, extension, pronation, and supination) using a standard goniometer. Unit of Measure: Degrees. |
Countries
Egypt
Contacts
CONTACTMostafa Ali Hamed
Outcome results
None listed