Antegrade Versus Retrograde Cross K-Wire In Distal Radius Fracture; A Comparative Study
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 30
- 主要终点
- Radiological union of distal radius fracture
研究概览
简要总结
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
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
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients with extra-articular distal radius fractures. Fractures classified as Frykmann type 1 and type
- •Patients aged 18 years and above.
排除标准
- •Skeletally immature patient.
- •Intra-articular distal radius fractures.
- •Communited fractures.
- •Open fractures or fractures with neurovascular compromise.
- •Patients with fractures requiring surgical interventions other than K-wire fixation.
- •Patients with a history of infection or other conditions impair wound healing.
研究组 & 干预措施
Arm 1 Title: Antegrade K-wire Fixation
participants in this group will undergo antegrade percutaneous cross K-wire fixation for distal radius fractures. K-wires will be inserted from proximal to distal direction under fluoroscopic guidance, following closed reduction
干预措施: Antegrade versus retrograde cross k-wire (Procedure)
Arm 2 Title: Retrograde K-wire Fixation
Participants in this group will undergo retrograde percutaneous cross K-wire fixation for distal radius fractures. K-wires will be inserted from distal to proximal direction under fluoroscopic guidance, following closed reduction
干预措施: Antegrade versus retrograde cross k-wire (Procedure)
结局指标
主要结局
Radiological union of distal radius fracture
时间窗: At 6 weeks, 3 months, and 6 months postoperatively
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
次要结局
- Functional outcome using DASH score(At 6 weeks, 3 months, and 6 months postoperatively)
- Pain level using Visual Analog Scale (VAS)(At 1 week, 6 weeks, 3 months, and 6 months postoperatively)
研究者
Montasser Talaat Omar
resident orthopeadics sohag university
Sohag University