Ulnar Shaft Fracture Fixation by Antegrade Versus Retrograde Intramedullary k Wires in Children

NCT ID: NCT06781684

Last Updated: 2025-01-17

Study Results

Results pending

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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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-01-01

Study Completion Date

2025-07-01

Brief Summary

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This study is made to see and evaluate the outcomes of treating and fixing ulnar shaft fracture in children by antegrade versus retrograde intramedullary k wires

Detailed Description

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This study is made on children with ulnar shaft fracture and treating their fracture by intramedullary k wires ,dividing them into two groups ,one of them the child ulnar fracture is reduced and fixed by intramedullary antegrade k wire and the other group the fracture is reduced and fixed by retrograde k wire ,and compare the functional, clinical and radiological outcomes between the two groups

Conditions

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Fracture of Ulna Shaft

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Antegrade intramedullary k wire group

k wire entry point is from the olecranon towards the hand before the distal ulnar styloid

Group Type ACTIVE_COMPARATOR

ulna shaft fracture fixation in children by intramedullary k wire

Intervention Type PROCEDURE

* In the 1st group The Antegrade intramedullary k wire with appropriate diameter according to the child ulna diameter is introduced from the olecranon of the fractured ulna,cross the fracture site after good reduction under C arm in the anterioposterior and lateral views and the wire continues until reaching before the distal ulna .
* In the 2nd group The Retrograde intramedullary k wire with appropriate diameter is introduced from the diatal end of the ulna and cross the fracture site after good reduction under C arm and continues until reaching before the olecranon.

Retrograde intramedullary k wire group

k wire entry point is from the distal ulnar styloid towards the olecranon

Group Type ACTIVE_COMPARATOR

ulna shaft fracture fixation in children by intramedullary k wire

Intervention Type PROCEDURE

* In the 1st group The Antegrade intramedullary k wire with appropriate diameter according to the child ulna diameter is introduced from the olecranon of the fractured ulna,cross the fracture site after good reduction under C arm in the anterioposterior and lateral views and the wire continues until reaching before the distal ulna .
* In the 2nd group The Retrograde intramedullary k wire with appropriate diameter is introduced from the diatal end of the ulna and cross the fracture site after good reduction under C arm and continues until reaching before the olecranon.

Interventions

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ulna shaft fracture fixation in children by intramedullary k wire

* In the 1st group The Antegrade intramedullary k wire with appropriate diameter according to the child ulna diameter is introduced from the olecranon of the fractured ulna,cross the fracture site after good reduction under C arm in the anterioposterior and lateral views and the wire continues until reaching before the distal ulna .
* In the 2nd group The Retrograde intramedullary k wire with appropriate diameter is introduced from the diatal end of the ulna and cross the fracture site after good reduction under C arm and continues until reaching before the olecranon.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Pediatric patient
* aging from 4 to 15 years old
* diaphyseal ulnar fracture
* either isolated or combined with radius fracture (both bone).

Exclusion Criteria

* Segmental fractures
* Montaggia variants
* Gelliazzi fracture
* Fractures associated with radial head fracture - Compound fractures
* Fractures with neurovascular affection
Minimum Eligible Age

4 Years

Maximum Eligible Age

15 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sohag University

OTHER

Sponsor Role lead

Responsible Party

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Mahmoud Ahmed Ali

Orthopedic Resident at sohag university hospital

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Sohag university hospital

Sohag, , Egypt

Site Status

Countries

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Egypt

Other Identifiers

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Soh-Med-24-12-01MS

Identifier Type: -

Identifier Source: org_study_id

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