5th metacarpal neck fracture Metacarpal fixation
Conditions
Interventions
Surgical fixation of 5th metacarpal neck fractures using the Bouquet technique with intramedullary K-wires. Patients will receive standard preoperative and postoperative care, including immobilization
Experimental Procedure/Surgery,Active Comparator Procedure/Surgery
Bouquet technique group, Transfixing K-wire group
Sponsors
Sohag University Hospital
Eligibility
Sex/Gender
All
Age
15 Years to 60 Years
Inclusion criteria
Inclusion criteria: 1. Patients aged 15 years or older with isolated, closed 5th metacarpal neck fractures. 2. Volar angulation greater than or equal to 40 degrees, rotational deformity greater than 10 degrees, and gross shortening of the metacarpal greater than 5 mm
Exclusion criteria
Exclusion criteria: 1. Intra-articular fractures of the 5th metacarpal. 2. Pathological fractures or systemic bone disease. 3. Comminuted fractures. 4. Old non-united fractures
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Radiological fracture union 6 weeks, 3 months, and 6 months postoperatively Assessment of fracture healing using standard X-ray imaging (anteroposterior, lateral, and oblique views),Functional outcome 6 weeks, 3 months, and 6 months postoperatively DASH questionnaire | — |
Secondary
| Measure | Time frame |
|---|---|
| Functional outcome 6 weeks, 3 months, and 6 months postoperatively DASH score,Complication rate 2 weeks, 6 weeks, 3 months, and 6 months postoperativel Incidence of surgical complications (infection, nonunion, malunion, hardware issues | — |
Countries
Egypt
Contacts
Public ContactAhmed Abd Elgaber
Sohag university
Outcome results
None listed