Comparative Study Between Percutaneous Transverse pinning versus Crossed pinning K-wire fixation in treatment of 2nd or 5th Metacarpal neck fractures, A randomized controlled trial

Status

Recruiting

Phases

Phase 2

Study type

Interventional

Source

TCTR

Registry ID

TCTR20250127002

Enrollment

Registered

2025-01-27

Start date

2023-03-15

Completion date

Unknown

Last updated

2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

K-wire fixation in treatment of 2nd or 5th Metacarpal neck fractures 2nd or 5th Metacarpal neck fractures Transverse k-wire pinning cross k-wire pinning

Interventions

Close reduction using the Jahss maneuver Surgery performed under fluoroscopy insert two of 1.4 mm K-wires used for fixation The entry point is at the metacarpal recess at the head of the metac

Placebo Comparator Procedure/Surgery,Active Comparator Procedure/Surgery

cross k-wire fixation,Transverse K-wire fixation

Eligibility

Sex/Gender

All

Age

15 Years to No maximum

Inclusion criteria

Inclusion criteria: 1. Close fracture of 2nd or 5th Metacarpal neck with meet surgical criteria 2. Older than 15 years old

Exclusion criteria

Exclusion criteria: 1. Concomitant hand fracture 2. Pathologic fracture 3. Open fracture 4. Intra-articular fracture 5. Comminuted/ Segmental fracture 6. Previous abnormal hand function

Design outcomes

Primary

Measure	Time frame
total active motion score 3 month Goniometer	—

Secondary

Measure	Time frame
hand grip strength 3 month Dynamometer	—

Countries

Thailand

Contacts

Public ContactChattarika Piahiang

Khon kaen hospital

chattarikapiahiang@gmail.com0854620059

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 10, 2026