Health TrialsbyHealthPanel

Elastic Nail Versus Screw for Intramedullary Fixation of Displaced Fractures of the Fifth Metacarpal Neck

ConditionsMetacarpal FractureBoxer's Fracture
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-60
SponsorIstanbul University

About this trial

The goal of this clinical trial is to compare two different intramedullary fixation technique in patient diagnosed with deplased fifth metacarpal neck fracture. The main questions it aims to answer are:

* Can percutaneous screw application be a more stable fixation method than intramedullary elastic nail application? * Can screw application create a significant difference in the recovery of grip strength in the early period compared to elastic nail application? Patients will be followed up at the 1st week, 1st month and 3rd month postoperatively. Functionality will be evaluated with Quick DASH score at the 3rd month. At the 1st and 3rd month controls, grip strength will be evaluated. At the same time, metacarpal shortening and angulations will be measured on x-ray. Researchers will compare percutaneous screw and elastic nail group to see grip strength, healing time and radiologic parameter difference.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients aged 18-60 years with displaced fifth metacarpal fractures with angulation greater than 30 degrees

Disqualifiers

Open fracture

Patients with multiple injuries

History of hand surgery

Intraarticular metacarpal neck fractures

Trial design

Design model

Parallel

Treatments tested in this trial

  • Radiologic examination

    Diagnostic test

    Posoperative first week, month and third month On the x-ray of Hand AP view: metacarpal shortening On the x-ray of Hand 30 degree pronation view: dorsal angulation

  • Grip Strength

    Procedure/Surgery

    Postoperative first month and third month grip streng compare with Cambry hand dinamometer.

  • Quick DASH Questionnaire

    Other intervention

    Quick DASH is an 11-question questionnaire that assesses upper extremity functionality.

Treatment groups

46 Participants
are divided into 2 treatment groups
Group A: Elastic NailOther 3 interventions
Group B: ScrewOther 3 interventions

Trial outcomes

Primary outcomes

1

Dorsal Angulation and Metacarpal Shortening

Measurement of dorsal angulation between two fracture fragments on a hand oblique 30-degree pronation X-Ray Measurement of shortness of the fifth metacarpal on hand AP X-ray

Time frame
Preoperative, Postoperative first week, first and third month

Secondary outcomes

1

Grip Strength

Hand grip strength will be measured with CAMBRY hand dynamometer at 1 and 3 months postoperatively.

Time frame
Postoperative first and third month

Other outcomes

1

Healing Time

In follow-up X-rays, complete osseous bridging in 3 of 4 cortices and absence of pain in the patient will be taken as a sign of healing.

Time frame
Preoperative, Postoperative first week, first and third month
2

Upper Extremity Functionality

Patients will be evaluated at the 3rd postoperative month with the Quick DASH 11-question questionnaire assessing upper extremity functionality.

Time frame
Postoperative third month

Sponsors and contacts

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Istanbul University

Lead sponsor

Source ClinicalTrials.gov
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