Fixation of Displaced Distal Ulna Fractures in Adults by Flexible Intramedullary Nail
NCT ID: NCT05173181
Last Updated: 2021-12-29
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
NA
30 participants
INTERVENTIONAL
2021-11-25
2022-07-30
Brief Summary
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Although the best treatment option for displaced distal ulnar fracture remains a subject of debate, most surgeons aim for anatomical reduction and stable fixation to avoid disruption of the distal radioulnar joint.
The investigators will assess clinical and radiological results of fixation of displaced distal ulna fractures in adults by flexible intramedullary nail.
Detailed Description
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Fractures of the distal ulna usually occur in association with distal radius fractures.
Isolated distal ulnar fracture is an uncommon upper limb injury. It is usually the consequence of a direct blow against the soft tissue-deficient ulnar border.
Injuries to the distal ulna can lead to derangement of the distal radioulnar joint (DRUJ), subsequently resulting in pain from incongruity or ulnocarpal impaction, limitation of forearm rotation due to scarring, and weakness secondary to instability of the joint under load.
Isolated fractures of the distal third of the ulnar shaft can be treated successfully by conservative if not significantly displaced and if rotational malalignment is not present. Fractures with significant displacement or those with rotational malalignment (displaced spiral fracture patterns) are best be treated by osteosynthesis and functional rehabilitation in order to prevent loss of forearm rotation.
Although the best treatment option for displaced distal ulnar fracture remains a subject of debate, most surgeons aim for anatomical reduction and stable fixation to avoid disruption of the distal radioulnar joint.
The investigators aim is to assess clinical and radiological results of fixation of displaced distal ulna fractures in adults by flexible intramedullary nail.
It is a prospective study patients with displaced distal ulna fractures in adult patient admitted in orthopaedic department of Sohag University Hospital after taking an informed consent from patients or near relatives. Fractures will be managed using flexible intra medullary nail .
Patients with Intra articular fractures , Fractures with disturbed radioulnar joint , or Old malunited or deformed distal ulna are excluded.
* Clinical evaluation of patient by Grace and Eversmann rating system used to assess functional evaluation ,VAS (visual analogue scale),or Dash score (Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire scores).
* Radiological evaluation as plain x ray.
Time plan : clinical and radiolodical evaluation as follow:
* Immediately postoperative.
* 2 weeks postoperative.
* 1month postoperative.
* 2 months postoperative.
* 6 months postoperative.
Conditions
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Study Design
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NA
SINGLE_GROUP
TREATMENT
NONE
Study Groups
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Adult with fracture distal ulna
Flexible intramedullary nail
Fixation of distal ulna fracture with flexible intramedullary nail
Interventions
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Flexible intramedullary nail
Fixation of distal ulna fracture with flexible intramedullary nail
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* Fractures with disturbed radioulnar joint
* Old malunited or deformed distal ulna
16 Years
ALL
No
Sponsors
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Sohag University
OTHER
Responsible Party
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Mahmoud Hassan
Orthopedic Resident
Locations
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Sohag University Hospital
Sohag, , Egypt
Countries
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Central Contacts
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Facility Contacts
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Elshazly Mosa, Professor of Orthopaedics
Role: primary
References
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Grace TG, Eversmann WW Jr. Forearm fractures: treatment by rigid fixation with early motion. J Bone Joint Surg Am. 1980 Apr;62(3):433-8.
Matthews LS, Kaufer H, Garver DF, Sonstegard DA. The effect on supination-pronation of angular malalignment of fractures of both bones of the forearm. J Bone Joint Surg Am. 1982 Jan;64(1):14-7.
PATRICK J. A study of supination and pronation, with especial reference to the treatment of forearm fractures. J Bone Joint Surg Am. 1946 Oct;28(4):737-48. No abstract available.
Other Identifiers
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Soh-Med-21-11-08
Identifier Type: -
Identifier Source: org_study_id