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Ulnar Shaft Fracture Fixation by Antegrade Versus Retrograde Intramedullary k Wires in Children

Not Applicable
Active, not recruiting
Conditions
Fracture of Ulna Shaft
Registration Number
NCT06781684
Lead Sponsor
Sohag University
Brief Summary

This study is made to see and evaluate the outcomes of treating and fixing ulnar shaft fracture in children by antegrade versus retrograde intramedullary k wires

Detailed Description

This study is made on children with ulnar shaft fracture and treating their fracture by intramedullary k wires ,dividing them into two groups ,one of them the child ulnar fracture is reduced and fixed by intramedullary antegrade k wire and the other group the fracture is reduced and fixed by retrograde k wire ,and compare the functional, clinical and radiological outcomes between the two groups

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
40
Inclusion Criteria
  • Pediatric patient
  • aging from 4 to 15 years old
  • diaphyseal ulnar fracture
  • either isolated or combined with radius fracture (both bone).
Exclusion Criteria
  • Segmental fractures
  • Montaggia variants
  • Gelliazzi fracture
  • Fractures associated with radial head fracture - Compound fractures
  • Fractures with neurovascular affection

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
The duration of complete union of the bone in every groupThe evaluation is done at 2,4,6 and 12 weeks and 3 months

Each patient is evaluated radiologically after fixing the fracture by x-ray AP and lateral views after 2 week ,4 ,6 ,12 weeks and 3 months to see the time each one taking to complete union .

-Also clinical and functional evaluation of every patient and timing of ability to use his forearm , ability to do supination and pronation of the forearm , flexion and extension of the elbow and wrist , ability to do ulnar deviation at the level of the wrist and degree of pain and apprehension with each movement ,Degree of pain and tenderness in the fracture site and time taking to complete disappearing of pain and tenderness ,degree of stiffness and need to physiotherapy ,these data is collected from each patient at the time of follow up in the outpatient clinic and recorded for everyone in each group.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Sohag university hospital

🇪🇬

Sohag, Egypt

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