Articular Fracture
Conditions
Brief summary
Local data has shown conflicting results regarding the outcomes of volar locking plates versus external fixators in distal intra-articular radius fractures. Therefore, the current study was planned with the objective of comparing the outcome of a volar locking plate versus an external fixator in distal intra-articular radius fractures.
Detailed description
Determining which method provides superior early functional recovery through this study would be beneficial for generating local data. Understanding and applying improved anatomical reduction techniques and achieving lower complication rates would enable these individuals to mobilize and return to their daily lives more quickly, ultimately enhancing their quality of life.
Interventions
PROCEDUREVolar locking plates
Patients will be treated with volar locking plates. The distal radius fragments will be stabilized using the conventional modified Henry's volar technique with 2.4 mm locking compression plates.
PROCEDUREExternal Fixator
Patients will be employed with an external fixator, directly fixing to the second or third metacarpal bone using 3-mm pins and the radius using 4-mm Schanz pins.
Sponsors
Muhammad Aamir Latif
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
20 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Any gender * Aged 20 to 60 * with intra-articular fractures of the distal radius * The fracture lasted less than seven days
Exclusion criteria
* Patients with bilateral distal radius fractures and any further related injuries or fractures * Distal radius open fractures * Individuals receiving immunosuppressive, chemotherapeutic, or corticosteroid medications (based on medical history and records) * Individuals with underlying medical co-morbidities, such as diabetes and uncontrolled hypertension, (determined by their medical history and record)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Operative time | 2 hours | Operative time will be measured in minutes from skin incision to skin closure. |
| Blood Loss | 3 hours | Blood loss will be estimated in milliliters, measuring clots in a suction bottle, the difference between the pre- and postoperative sponge weights using the 1 g-1 ml formula, and blood clots in a clenched fist. |
| Wrist function | 3 months | Wrist function will be evaluated using the Mayo Wrist Score. Patient frequencies will be recorded, with scores of 90-100 points reflecting an excellent outcome, 80-89 points indicating a good outcome, 60-79 points representing a satisfactory outcome, and scores below 60 points denoting a poor outcome. |
Countries
Pakistan
Contacts
CONTACTBurhan Ulhaq
CONTACTAbdul-Munaf Saud, FCPS
PRINCIPAL_INVESTIGATORBurhan Ulhaq
Bahawal Victoria Hospital/Quid-e-Azam Medical College, Bahawalpur
STUDY_DIRECTORAbdul-Munaf Saud, FCPS
Bahawal Victoria Hospital/Quaid-e-Azam Medical College, Bahawalpur
Outcome results
None listed