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Effectiveness comparing between single intramedullary Kirschner wire fixation and trans-metacarpal Kirschner wire fixation in metacarpal fracture: A randomized controlled trial

Effectiveness comparing between single intramedullary Kirschner wire fixation and trans-metacarpal Kirschner wire fixation in metacarpal fracture: A randomized controlled trial

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
TCTR
Registry ID
TCTR20250826008
Enrollment
20
Registered
2025-08-26
Start date
2024-08-29
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

Metacarpal bone fracture (non-thumb metacarpal bone fracture) Metacarpal bone fracture Transmetacarpal Kirschner wire fixation Intramedullary Kirschner wire fixation

Interventions

Single Intramedullary Kirshner Wire Fixation - Intramedullary K-wire fixation or inserting the K-wire into the medullary canal of the fractured bone. Nowadays, studies have reported that Single Intram
Experimental Procedure/Surgery,Active Comparator Procedure/Surgery
single intramedullary Kirschner wire fixation,trans-metacarpal Kirschner wire fixation

Sponsors

Nakornping Hospital
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 60 Years

Inclusion criteria

Inclusion criteria: 1. Age: 18-60 years old 2. Diagnosed with Metacarpal shaft fracture with the indication for operative treatment (Table 1) 3. Injury onset less than one week 4. Close fracture (exclude open fractures)

Exclusion criteria

Exclusion criteria: 1. Open Fractures; injuries with external wound exposing the fracture site. 2. Injury onset more than one week 3. Patient with associated injury that prevents the patient from early hand rehabilitation postoperatively such as injury to the hand tendons, traumatic brain injury, etc. 4. Patient who denied operative treatment with consent

Design outcomes

Primary

MeasureTime frame
MCP joint Arc of motion 3,6,12,24 weeks postoperative Goniometer

Secondary

MeasureTime frame
Operative time Operative day Watch,Clinical Union 3,6,12,24 weeks postoperative Physical examination,Radiographic Union 3,6,12,24 weeks postoperative Interprete film by Researcher,DASH Score 3,6,12,24 weeks postoperative Questionaire,Complications: Pintract infection, Failure of implant, Nonunion, Refractor 3,6,12,24 weeks postoperative Subjective to patient

Countries

Thailand

Contacts

Public ContactParod Teantunyakij

Nakornping Hospital

parodprivateedu123@gmail.com0910678600

Outcome results

None listed

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