Clinical trial NCT06543485: Headless Screw Fixation for Metacarpal Fractures in Adults.
Official title: Results of Intramedullary Headless Screw Fixation for Metacarpal Fractures in Adults.
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Metacarpal Fractures in Adults
Lead sponsor: Sohag University
Sponsor class: OTHER
First posted: 2024-08-09
Enrollment: 20
Sex: ALL
Minimum age (years): 18
Maximum age (years): 70
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: The goal of this study is to evaluate results of intramedullary screw fixation of metacarpal fractures while summarizing the pearls and pitfalls to maximize successful surgical outcomes in adults, Metacarpal fractures are third most common upper extremity fractures, Intramedullary screw Fixation is a fixation option that offers rigid stability, early active range of motion, and simplicity of insertion,


Eligibility criteria: Inclusion Criteria:

* Adult patients.
* Metacarpal shaft fractures.
* Simple fractures.
* Recent fractures within 1-2 weeks.
* Isolated metacarpal fractures.

Exclusion Criteria:

* Pediatric fractures with open physis.
* Head-splitting fractures and Metacarpal basal fractures.
* Compound fracture increasing risk of infection.
* medical illness or mental disorders affecting the follow-up examination.
* Association with other fractures fixed by methods that limit early range of motion.
* pathologic fractures.

Primary outcomes:
measure: early active range of motion
timeFrame: 3 days-12 weeks after surgery
Secondary outcomes:
Other outcomes:
Locations:
city: Sohag
country: Egypt
facility: Faculty of Medicine Sohag University
state: Select A State Or Province
Study officials:
References:
citation: Nakashian MN, Pointer L, Owens BD, Wolf JM. Incidence of metacarpal fractures in the US population. Hand (N Y). 2012 Dec;7(4):426-30. doi: 10.1007/s11552-012-9442-0.
citation: Court-Brown CM, Caesar B. Epidemiology of adult fractures: A review. Injury. 2006 Aug;37(8):691-7. doi: 10.1016/j.injury.2006.04.130. Epub 2006 Jun 30.
citation: Karl JW, Olson PR, Rosenwasser MP. The Epidemiology of Upper Extremity Fractures in the United States, 2009. J Orthop Trauma. 2015 Aug;29(8):e242-4. doi: 10.1097/BOT.0000000000000312.
citation: Chung KC, Spilson SV. The frequency and epidemiology of hand and forearm fractures in the United States. J Hand Surg Am. 2001 Sep;26(5):908-15. doi: 10.1053/jhsu.2001.26322.
citation: Page SM, Stern PJ. Complications and range of motion following plate fixation of metacarpal and phalangeal fractures. J Hand Surg Am. 1998 Sep;23(5):827-32. doi: 10.1016/S0363-5023(98)80157-3.
citation: Robinson LP, Gaspar MP, Strohl AB, Teplitsky SL, Gandhi SD, Kane PM, Osterman AL. Dorsal versus lateral plate fixation of finger proximal phalangeal fractures: a retrospective study. Arch Orthop Trauma Surg. 2017 Apr;137(4):567-572. doi: 10.1007/s00402-017-2650-x. Epub 2017 Feb 24.
citation: Siddiqui AA, Kumar J, Jamil M, Adeel M, Kaimkhani GM. Fixation of Metacarpal Fractures Using Intramedullary Headless Compression Screws: A Tertiary Care Institution Experience. Cureus. 2019 Apr 16;11(4):e4466. doi: 10.7759/cureus.4466.
citation: Botte MJ, Davis JL, Rose BA, von Schroeder HP, Gellman H, Zinberg EM, Abrams RA. Complications of smooth pin fixation of fractures and dislocations in the hand and wrist. Clin Orthop Relat Res. 1992 Mar;(276):194-201.
citation: Stahl S, Schwartz O. Complications of K-wire fixation of fractures and dislocations in the hand and wrist. Arch Orthop Trauma Surg. 2001 Oct;121(9):527-30. doi: 10.1007/s004020100279.
citation: Eberlin KR, Babushkina A, Neira JR, Mudgal CS. Outcomes of closed reduction and periarticular pinning of base and shaft fractures of the proximal phalanx. J Hand Surg Am. 2014 Aug;39(8):1524-8. doi: 10.1016/j.jhsa.2014.05.008. Epub 2014 Jul 2.
citation: Hoang D, Vu CL, Jackson M, Huang JI. An Anatomical Study of Metacarpal Morphology Utilizing CT Scans: Evaluating Parameters for Antegrade Intramedullary Compression Screw Fixation of Metacarpal Fractures. J Hand Surg Am. 2021 Feb;46(2):149.e1-149.e8. doi: 10.1016/j.jhsa.2020.08.007. Epub 2020 Oct 19.