Surgical Evaluation of Fixation of Hand Metacarpals Fractures With K-wires

NCT ID: NCT06611124

Last Updated: 2024-09-24

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 30 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-08-11
• Study Completion Date: 2024-08-31

Brief Summary

different techniques have been described forfracture fixation ofmetacarpals fracture withk-wires being the most described technique as it is minimally invasive methodsfor metacarpals fractures in this research ,we are aimingto evaluate k-wire fixation of metacarpal fracture to optimize the clical outcome as regardsto the degree of stiffnessas avouding the impairment of the gluding tissue of the fingers

Detailed Description

hand fractures is about 19%of all fractures k-wires fixation is the most frequently method operative procedure which provide operative stability,early mobilization and excellent functional results primary option for fixation of theses fractures include k-wires ,plateand screws and more recently headless intramedullay compression scres and Bouquet k -wire technique Aim of work fir evaluation of the clinical,functional and radiological outcome of metacarpals fractures fixed by k -wires with variious techniques as antigrade intramedullay k-wires,transverse pinning of unstable displaced shaft and neck fractures.

also direct orif for intra articular head fractures Materials and Methods we are analyzing all patients with metacarpals fractures except patients abnormal hands fuctions before injury procedure done under general anesthesia ,brachial plexus block and wrist block outcome and evaluation handgrip strength 3 month after surgery Geniometer for range of motion AP ,Lateral and oblique radiograph

Conditions

Metacarpal Fracture

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: SEQUENTIAL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

k -wires

fixation of hand metacarpals fractures with k-wire 2 arms

Group Type: OTHER

k -wires fixation for metacarpals fractures

Intervention Type: PROCEDURE

reduction and fixation of metacarpal fracture with k-wire

k -wire

fixation of hand metacarpals fractures with k-wire 2 arms

Group Type: OTHER

k -wires fixation for metacarpals fractures

Intervention Type: PROCEDURE

reduction and fixation of metacarpal fracture with k-wire

Interventions

k -wires fixation for metacarpals fractures

reduction and fixation of metacarpal fracture with k-wire

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• all patients with metacarpal fracture

Exclusion Criteria

• patients with abnormal hand function before surgery

• Minimum Eligible Age: 3 Days
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Mohamed Ali Helmi

OTHER

Sponsor Role: lead

Responsible Party

Mohamed Ali Helmi

aasitant professor in faculty of medicine ,sohag universty

Responsibility Role: SPONSOR_INVESTIGATOR

Locations

Mohamed Ali Helmi Farghali

Sohag, Asyut Governorate, Egypt

Mohamed Ali Helmi

Sohag, , Egypt

Countries

Egypt

References

Geissler WB. Operative fixation of metacarpal and phalangeal fractures in athletes. Hand Clin. 2009 Aug;25(3):409-21. doi: 10.1016/j.hcl.2009.05.005.

Reference Type: RESULT

PMID: 19643340 (View on PubMed)

Kozin SH, Thoder JJ, Lieberman G. Operative treatment of metacarpal and phalangeal shaft fractures. J Am Acad Orthop Surg. 2000 Mar-Apr;8(2):111-21. doi: 10.5435/00124635-200003000-00005.

Reference Type: RESULT

PMID: 10799096 (View on PubMed)

Moore A, Varacallo MA. Metacarpal Hand Fracture (Archived). 2023 Aug 4. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from http://www.ncbi.nlm.nih.gov/books/NBK536960/

Reference Type: RESULT

PMID: 30725645 (View on PubMed)

Other Identifiers

Soh-Med-24-05-01MD

Identifier Type: -

Identifier Source: org_study_id