Intramedullary Headless Screw Fixation for Metacarpal and Phalangeal Fractures
NCT ID: NCT06210191
Last Updated: 2024-02-09
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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NOT_YET_RECRUITING
NA
35 participants
INTERVENTIONAL
2024-03-31
2025-03-31
Brief Summary
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Detailed Description
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There are many methods of fixation of these fractures as plates and K-wires. Plate fixation is able to provide open reduction and stability for early range of motion with mixed clinical results. Reported complications include stiffness, fixed flexion contracture of the adjacent joints, soft tissue dissection, and extensor lag.
There are minimally invasive techniques, including the use of K-wires, lag screws, cerclage wiring, and external fixation that limit soft tissue dissection. These options have drawbacks of malunion, nonunion, infection, need for hardware removal, and stiffness.
Intramedullary headless screw fixation is an emerging alternative to K-wire or plate fixation of displaced and unstable fractures of the phalanges and metacarpals. The Intramedullary headless screw fixation is a new option that offers rigid stability, early active range of motion, and easy insertion. Due to the minimally invasive nature of this technique, patients will experience better results in terms of range of motion, return to work faster, and minimize complications.
Beck et al. reported 100% of patients achieved full radiological union with minor complication rate and full range of motion and early return to work with average 96% of grip strength.
Conditions
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Study Design
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NA
SINGLE_GROUP
TREATMENT
NONE
Study Groups
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union of fracture
Intramedullary headless screw fixation for metacarpal and phalangeal fractures
Intramedullary headless screw fixation
fixation of fractures of metacarpals and phalanges by intramedullary headless screws
Interventions
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Intramedullary headless screw fixation
fixation of fractures of metacarpals and phalanges by intramedullary headless screws
Eligibility Criteria
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Inclusion Criteria
2. Patients with open type I fractures of phalanges and metacarpals.
Exclusion Criteria
2. Patients with open type II or III fractures of phalanges or metacarpals.
3. Patients with fractures of phalanges or metacarpals with neurovascular injury. 4 Patients with associated tendon injuries.
16 Years
90 Years
ALL
No
Sponsors
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Assiut University
OTHER
Responsible Party
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Ahmed Abdelrahman Megahed Ahmed
Principal investigator
Principal Investigators
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Amr Elsayed, professor
Role: STUDY_CHAIR
Assiut University
Waleed Riad, professor
Role: STUDY_DIRECTOR
Assiut University
Locations
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Faculty of medicine
Asyut, , Egypt
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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Intramedullary screw fixation
Identifier Type: -
Identifier Source: org_study_id
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