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Antegrade Versus Retrograde Cross K-Wire In Distal Radius Fracture

ConditionDistal Radius Fractures
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-65
SponsorSohag University

About this trial

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

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

None

Disqualifiers

Skeletally immature patient.

Intra-articular distal radius fractures.

Communited fractures.

Open fractures or fractures with neurovascular compromise.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Antegrade versus retrograde cross k-wire

    Procedure/Surgery

    \> 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.

Treatment groups

30 Participants
are divided into 2 treatment groups
Group A: Arm 1 Title: Antegrade K-wire FixationExperimental treatment 1 intervention
Group B: Arm 2 Title: Retrograde K-wire FixationExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Radiological union of distal radius fracture

Radiographic healing will be assessed using standard X-rays to evaluate union status. Radiographs will be reviewed for signs of cortical continuity and absence of fracture lines

Time frame
At 6 weeks, 3 months, and 6 months postoperatively

Secondary outcomes

1

Functional outcome using DASH score

Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire will be used to assess upper limb function

Time frame
At 6 weeks, 3 months, and 6 months postoperatively
2

Pain level using Visual Analog Scale (VAS)

Pain will be evaluated using the Visual Analog Scale (0-10), with 0 indicating no pain and 10 indicating worst pain

Time frame
At 1 week, 6 weeks, 3 months, and 6 months postoperatively

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Sohag University

Lead sponsor

Source ClinicalTrials.gov

This trial is not recruiting at the moment. You can still explore other options: