Clinical trial NCT06611124: Surgical Evaluation of Fixation of Hand Metacarpals Fractures With K-wires
Official title: Surgical Evaluation of Fixation of Hand Metacarpals Fractures With K-wires
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Metacarpal Fracture
Lead sponsor: Sohag University
Sponsor class: OTHER
First posted: 2024-09-24
Enrollment: 30
Sex: ALL
Minimum age (years): 3
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: SEQUENTIAL
Intervention model description: reduction with axial traction to disimpact the fracture with dorsal pressure for metacarpals shfat and head fractures pinng of the fracture with k-wire for fixation
Primary purpose: TREATMENT

Brief summary: different techniques have been described forfracture fixation ofmetacarpals fracture withk-wires being the most described technique as it is minimally invasive methodsfor metacarpals fractures in this research ,we are aimingto evaluate k-wire fixation of metacarpal fracture to optimize the clical outcome as regardsto the degree of stiffnessas avouding the impairment of the gluding tissue of the fingers

Detailed description: hand fractures is about 19%of all fractures k-wires fixation is the most frequently method operative procedure which provide operative stability,early mobilization and excellent functional results primary option for fixation of theses fractures include k-wires ,plateand screws and more recently headless intramedullay compression scres and Bouquet k -wire technique Aim of work fir evaluation of the clinical,functional and radiological outcome of metacarpals fractures fixed by k -wires with variious techniques as antigrade intramedullay k-wires,transverse pinning of unstable displaced shaft and neck fractures.

also direct orif for intra articular head fractures Materials and Methods we are analyzing all patients with metacarpals fractures except patients abnormal hands fuctions before injury procedure done under general anesthesia ,brachial plexus block and wrist block outcome and evaluation handgrip strength 3 month after surgery Geniometer for range of motion AP ,Lateral and oblique radiograph

Eligibility criteria: Inclusion Criteria:

* all patients with metacarpal fracture

Exclusion Criteria:

* patients with abnormal hand function before surgery

Primary outcomes:
measure: hand grip by goniometer
timeFrame: one year
Secondary outcomes:
Other outcomes:
Locations:
city: Sohag
country: Egypt
facility: Mohamed Ali Helmi Farghali
state: Assiut
city: Sohag
country: Egypt
facility: Mohamed Ali Helmi
Study officials:
References:
citation: Geissler WB. Operative fixation of metacarpal and phalangeal fractures in athletes. Hand Clin. 2009 Aug;25(3):409-21. doi: 10.1016/j.hcl.2009.05.005.
citation: Kozin SH, Thoder JJ, Lieberman G. Operative treatment of metacarpal and phalangeal shaft fractures. J Am Acad Orthop Surg. 2000 Mar-Apr;8(2):111-21. doi: 10.5435/00124635-200003000-00005.
citation: Moore A, Varacallo MA. Metacarpal Hand Fracture (Archived). 2023 Aug 4. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from http://www.ncbi.nlm.nih.gov/books/NBK536960/