Distal Radius Fractures
Conditions
Keywords
Distal Radius Fractures, Cannulated screws, Colles'
Brief summary
This comparative study aims to evaluate the clinical and radiological outcomes of cannulated screw fixation versus K-wire fixation in the treatment of distal radius fractures. Adult patients with distal radius fractures will be allocated to either cannulated screw fixation or K-wire fixation. The primary outcome measure will be functional outcome assessed using the DASH score, with secondary outcomes including radiographic parameters and complication rates.
Detailed description
Distal radius fractures are among the most common orthopedic injuries in adults. Various fixation techniques are used depending on fracture pattern and surgeon preference. Cannulated screw fixation and K-wire fixation are minimally invasive techniques commonly used in selected fracture types; however, there is ongoing debate regarding their comparative effectiveness in terms of functional recovery and complication rates. This prospective comparative study will include patients diagnosed with distal radius fractures who meet the inclusion criteria. Participants will be allocated into two groups: Group A will undergo fixation using cannulated screws, and Group B will undergo fixation using K-wires. Patients will be followed for a period of 6 months postoperatively. The primary outcome will be functional assessment using the DASH score at 6 months. Secondary outcomes will include radiographic parameters (radial height, radial inclination, and volar tilt), time to union, and postoperative complications.
Interventions
PROCEDURECannulated screw Fixation In Treatment Of Distal Radius
Patients assigned to this group will undergo surgical fixation of distal radius fractures using cannulated screws. The procedure involves open reduction and internal fixation with appropriate screw placement under fluoroscopic guidance. Postoperative care includes standard immobilization, physiotherapy, and follow-up visits to assess functional recovery using the DASH score and radiographic alignment. Complications such as infection, malunion, or hardware failure will be monitored.
Sponsors
Sohag University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
* Patients aged between 18\_60years. * Patients with displaced or unstable Distal Radius Fractures requiring surgical Fixation. * Type A Extra articular Fractures. * Patients fit for surgery and willing to participate in the study.
Exclusion criteria
* open distal Radius Fractures. * Pathological Fractures. * Previous Fractures or surgeries affecting the wrist. * Associated neurovascular injury. * polytrauma patient. * Patients with severe osteoporotic or systemic condition affecting bone healing.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 1. Radiological union | 6months postoperatively | 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. |
| Mean Hand Grip Strength | 6months postoperatively | 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. |
Countries
Egypt
Contacts
CONTACTAhmed Mahmoud Tammam, Practiciant
Outcome results
None listed