Results Of Usage Of Bridging Plate In Multi-fragmentary Distal Radius Fracture

Active, not recruiting

• Conditions: Distal Radius Fractures; Mechanical Complication of Internal Rod Fixation Device; Internal Fixation; Complications

• Registration Number: NCT06723483
• Lead Sponsor: Mina Hany Moris Zakhary

Brief Summary

using a plate as a distraction method bridging the comminution to restore anatomical parameters to treat comminuted distal radius fracture follow-up functional outcomes of the wrist after metal removal

Detailed Description

The plate is extended from the floor of the 2end extensor compartment at an intact radius to the 2end metacarpal by dual minimally invasive skin incisions.

One distal over 2end metacarpal and Other proximal over 2end extensor compartment at intact radius application of distal screws 1st, then the traction is done to restore radial length, radial inclination, and volar tilt followed by the application of proximal screws add wires to restore the joint congruity wire removal after 45 days, plate removal after 100 day follow up every 3 months till 1 year post-operative Assess the Functional Outcome Of the wrist joint after metal removal

Study Timeline

• Study Start: 2024-01-01
• Study First Submitted: 2024-10-03
• Status Verified: 2024-12
• Study First Submitted QC: 2024-12-04
• Last Update Submitted: 2024-12-04
• Study First Posted: 2024-12-09
• Last Update Posted: 2024-12-09
• Primary Completion: 2025-09-01
• Study Completion: 2026-09-01

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

1. Skeletally mature patients
2. presented with multifragmentary distal radius fractures classify type 23-3C according to AO classification
3. articular with or without metaphyseal comminution
4. Very distal fractures 5 )osteoporotic bone fractures

Exclusion Criteria

1. Dorsal soft tissue defect or tendon injuries
2. Metacarpal fractures (esp 2end MC)
3. open grade 3 fractures

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Modified Mayo Wrist Score (MMWS)	Mean follow-up period is 1 year postoperative.	Combines subjective and objective parameters to evaluate wrist functionality.

Secondary Outcome Measures

Name	Time	Method
Wrist Range of Movement	Mean follow-up period is 1 year postoperative.	Measurements include: Flexion (degrees) Extension (degrees) Pronation (degrees) Supination (degrees) Each measurement will be assessed separately using a goniometer.

Trial Locations

Locations (1)

Faculty of medicine assuit university; 🇪🇬 Assuit, Egypt