A Comparative Study Between Cannulated Screws and K-wires in the Treatment of Distal Radius Fractures
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 34
- 试验地点
- 1
- 主要终点
- Functional recovery using DASH (Disabilities of the Arm, Shoulder, and Hand) score
研究概览
简要总结
This comparative study aims to evaluate the clinical and radiological outcomes of cannulated screw fixation versus K-wire fixation in the treatment of distal radius fractures. Adult patients with distal radius fractures will be allocated to either cannulated screw fixation or K-wire fixation. The primary outcome measure will be functional outcome assessed using the DASH score, with secondary outcomes including radiographic parameters and complication rates.
详细描述
Distal radius fractures are among the most common orthopedic injuries in adults. Various fixation techniques are used depending on fracture pattern and surgeon preference. Cannulated screw fixation and K-wire fixation are minimally invasive techniques commonly used in selected fracture types; however, there is ongoing debate regarding their comparative effectiveness in terms of functional recovery and complication rates.
This prospective comparative study will include patients diagnosed with distal radius fractures who meet the inclusion criteria. Participants will be allocated into two groups: Group A will undergo fixation using cannulated screws, and Group B will undergo fixation using K-wires. Patients will be followed for a period of 6 months postoperatively.
The primary outcome will be functional assessment using the DASH score at 6 months. Secondary outcomes will include radiographic parameters (radial height, radial inclination, and volar tilt), time to union, and postoperative complications.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patients aged between 18_60years.
- •Patients with displaced or unstable Distal Radius Fractures requiring surgical Fixation.
- •Type A Extra articular Fractures.
- •Patients fit for surgery and willing to participate in the study.
排除标准
- •open distal Radius Fractures.
- •Pathological Fractures.
- •Previous Fractures or surgeries affecting the wrist.
- •Associated neurovascular injury.
- •polytrauma patient.
- •Patients with severe osteoporotic or systemic condition affecting bone healing.
研究组 & 干预措施
Cannulated Screw Fixation
Arm 1: Cannulated Screw Fixation
Description:
Patients in this group will undergo surgical fixation of distal radius fractures using cannulated screws. Postoperative functional outcomes will be assessed using the DASH score at 6 months. Radiographic alignment (radial height, radial inclination, and volar tilt) and complication rates will also be recorded
干预措施: Cannulated screw Fixation In Treatment Of Distal Radius (Procedure)
K-wire fixation
Patients in this group will undergo surgical fixation of distal radius fractures using percutaneous K-wires. The procedure involves closed reduction followed by insertion of K-wires under fluoroscopic guidance. Postoperative care includes immobilization and physiotherapy. Functional outcomes will be assessed using the DASH score at 6 months, and radiographic alignment and complication rates will be monitored.
结局指标
主要结局
Functional recovery using DASH (Disabilities of the Arm, Shoulder, and Hand) score
时间窗: 6months postoperatively
Assess functional improvement of the wrist and hand in patients undergoing either cannulated screw or K-wire fixation.
Functional recovery using DASH (Disabilities of the Arm, Shoulder, and Hand) score
时间窗: 6 months postoperatively
Assess functional improvement of the wrist and hand in both groups at 6 months follow-up.
1. Radiological union
时间窗: 6months postoperatively
Number of patients achieving complete bone healing as assessed by serial X-rays (presence of bridging callus on 3 out of 4 cortices). Unit of Measure: Number of Participants.
Mean Hand Grip Strength
时间窗: 6months postoperatively
Measurement of the physical force of the hand using a calibrated Jamar hydraulic hand dynamometer. The average of three successive trials with the affected hand will be recorded. Unit of Measure: Kilograms.
次要结局
未报告次要终点
研究者
Ahmed Mahmoud Tammam
Assistant Professor of Orthopedic Surgery
Sohag University