Comparing Surgical Approaches for Displaced Hand Fractures: A Clinical Study of Intramedullary Screws versus Dorsal Plates
- Conditions
- The health condition studied is surgical procedures for displaced extra-articular metacarpal fractures.Injuries and Accidents - Fractures
- Registration Number
- ACTRN12624000003572
- Lead Sponsor
- Gold Coast Hospital and Health Services
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot yet recruiting
- Sex
- All
- Target Recruitment
- 100
1.Adult patients (+18 years of age)
2.Less than 14 days between injury and surgery
3.Displaced extra-articular metacarpal fracture
4.Consultant surgeon decision to undergo operative fixation
1.Pathological fracture
2.Significant soft tissue injury (large open injury requiring coverage with a graft or flap or tendon damage requiring repair)
3.Fracture only amenable to one mode of fixation, as decided by the treating Consultant Surgeon
4.Unable to comply with the assessment requirements or rehabilitation
5.Fracture best managed by non-operative treatment, as decided by the treating Consultant Surgeon
6.Fracture best managed by alternative fixation (e.g., Kirschner wires or lag screws) as decided by the treating Consultant Surgeon.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method The primary outcome of this study is to evaluate the effectiveness of dorsal plate versus intramedullary screw fixation techniques in regards to post-operative total active motion (TAM) in patients following extra-articular metacarpal fractures. TAM will be assessed using a goniometer, a device used to measure the angle of joint movement, to provide an accurate and standardized measurement of the range of motion in the involved digit at 6 weeks post-surgery.[ 6 weeks post-surgery]
- Secondary Outcome Measures
Name Time Method