Cons and Pros of Concomitant Carpal Tunnel Release During Distal Radius Fracture Fixation
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 110
- 试验地点
- 1
- 主要终点
- Frequency of Symptomatic Carpal Tunnel Syndrome
研究概览
简要总结
This randomized study evaluates the impact of performing a prophylactic carpal tunnel release (CTR) at the same time as surgical fixation for a distal radius fracture (DRF). The study compares this simultaneous approach against a postponed approach (observing and only performing CTR if symptoms develop) to determine which strategy better reduces the frequency of re-operation and improves functional outcomes.
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
- None
盲法说明
Both the investigators and the participants are aware of which arm the patient has been assigned to.
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients presenting with trauma to the lower end of the radius requiring surgical intervention.
- •Fractures classified as AO/OTA classes involving significant displacement, articular surface depression, or comminution (excluding simple A-C1 classes).
排除标准
- •Simple fractures (AO/OTA class A-C1) suitable for non-operative management.
- •Pre-existing neurocognitive or psychological disorders.
- •Refusal to participate or sign written consent.
研究组 & 干预措施
Simultaneous CTR
干预措施: Carpal tunnel release (Procedure)
Simultaneous CTR
干预措施: Distal Radius Fracture Fixation with Observation. (Procedure)
Postponed CTR)
干预措施: Distal Radius Fracture Fixation with Observation. (Procedure)
结局指标
主要结局
Frequency of Symptomatic Carpal Tunnel Syndrome
时间窗: From surgery through the completion of fracture healing (4-6 wks)
The number of patients who develop symptomatic median nerve compression requiring medical or surgical intervention after the initial fracture correction.
次要结局
- Postoperative Functional Status of the Upper Extremity.(5-10 weeks)
研究者
Adel Samy ElHammady
Lecturer of Orthopedic Surgery, Faculty of Medicine, Benha University.
Benha University