Antegrade Versus Retrograde Cross K-Wire In Distal Radius Fracture

NCT ID: NCT07108543

Last Updated: 2025-08-07

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 30 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-08-31
• Study Completion Date: 2026-02-28

Brief Summary

This study aims to compare the clinical and radiological outcomes of distal radius fractures treated with cross K-wire fixation using the antegrade versus retrograde technique. Adult patients with extra-articular distal radius fractures will be randomly assigned to one of the two surgical approaches. The primary outcomes include fracture stability, functional recovery, and complication rates. The study is designed as a prospective, randomized controlled trial conducted at sohag university

Conditions

Distal Radius Fractures

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Arm 1 Title: Antegrade K-wire Fixation

participants in this group will undergo antegrade percutaneous cross K-wire fixation for distal radius fractures. K-wires will be inserted from proximal to distal direction under fluoroscopic guidance, following closed reduction

Group Type: EXPERIMENTAL

Antegrade versus retrograde cross k-wire

Intervention Type: PROCEDURE

\> Closed reduction of distal radius fracture followed by percutaneous insertion of two or more K-wires in an antegrade direction (from proximal to distal), crossing the fracture site under fluoroscopic guidance. The wires are introduced from the radial metaphysis and directed distally to stabilize the fracture.

Arm 2 Title: Retrograde K-wire Fixation

Participants in this group will undergo retrograde percutaneous cross K-wire fixation for distal radius fractures. K-wires will be inserted from distal to proximal direction under fluoroscopic guidance, following closed reduction

Group Type: EXPERIMENTAL

Antegrade versus retrograde cross k-wire

Intervention Type: PROCEDURE

\> Closed reduction of distal radius fracture followed by percutaneous insertion of two or more K-wires in an antegrade direction (from proximal to distal), crossing the fracture site under fluoroscopic guidance. The wires are introduced from the radial metaphysis and directed distally to stabilize the fracture.

Interventions

Antegrade versus retrograde cross k-wire

\> Closed reduction of distal radius fracture followed by percutaneous insertion of two or more K-wires in an antegrade direction (from proximal to distal), crossing the fracture site under fluoroscopic guidance. The wires are introduced from the radial metaphysis and directed distally to stabilize the fracture.

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

Patients with extra-articular distal radius fractures. Fractures classified as Frykmann type 1 and type 2. Patients aged 18 years and above.

Exclusion Criteria

• Skeletally immature patient.
• Intra-articular distal radius fractures.
• Communited fractures.
• Open fractures or fractures with neurovascular compromise.
• Patients with fractures requiring surgical interventions other than K-wire fixation.
• Patients with a history of infection or other conditions impair wound healing.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Sohag University

OTHER

Sponsor Role: lead

Responsible Party

Montasser Talaat Omar

resident orthopeadics sohag university

Responsibility Role: PRINCIPAL_INVESTIGATOR

Central Contacts

Montasser T Omar, resident

Role: CONTACT

montassertalaat3@gmail.com

01550793173

Elshazly S Mousa, professer

Role: CONTACT

Other Identifiers

Soh-Med-25--24MS

Identifier Type: -

Identifier Source: org_study_id