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Clinical Trial Summary

To compare between buried k wires and miniplate in management of metacarpal fracture.


Clinical Trial Description

Fractures of the carpals, metacarpals and phalanges account for approximately 15-19% of fractures in adults, with 59% of these occurring in the phalanges, 33% in the metacarpals and 8% in the carpal bones [1]. The single most common fracture site in the hand is the sub capital region of the fifth metacarpal bone (boxer's fracture) [2], which usually results from a direct blow to the metacarpal head [3]. Most hand fractures are caused by accidental falls or other sports-related injuries [4]. Hand fractures are among the most common fractures of upper extremity [5, 6]. Hand fractures can be treated conservatively or surgically, depending on the severity, location and type of fracture. The main objective of both operative and non-operative treatments is to provide fracture stability for early mobilization [7]. Surgical fixation is mainly indicated for displaced fractures because casts are often not sufficient to maintain reduction [8]. Open reduction with internal fixation (ORIF), using pins or plates, has historically been used to stabilize hand fractures which have rotational deformity or lateral angulation [9]. Open reduction may result in scarring, joint stiffness and tendon adhesion [7]. Closed reduction with internal fixation (CRIF), using percutaneous K wire or screws, is now used to treat the majority of unstable closed simple hand fractures [10]. It is generally considered percutaneous Kirschner wire (K wire) fixation may not provide adequate stabilization to allow for early mobilization [8] . ;


Study Design


Related Conditions & MeSH terms


NCT number NCT04605341
Study type Interventional
Source Assiut University
Contact mina kamal, resident
Phone 01203380329
Email minakamalcr7@gmail.com
Status Not yet recruiting
Phase N/A
Start date January 1, 2021
Completion date December 31, 2022

See also
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Terminated NCT04001062 - Non-operative vs Surgical Treatment of Isolated Non-Thumb Metacarpal Shaft Fractures N/A
Completed NCT01583556 - Optional Follow-up Visits for Common, Low-risk Arm Fractures N/A
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Completed NCT01759758 - A Randomized Trial Comparing Conventional Plaster and Thermoplastic Splints to Treat Pediatric Boxer's Fractures N/A
Not yet recruiting NCT04787835 - The Effect of Forearm Nerve Blocks on Pain-free Tourniquet Time Compared to Local Anesthetic for Awake Hand Surgery N/A
Completed NCT03434587 - Syndactyly Versus Closed Reduction in 5th Metacarpal Neck Fracture N/A
Recruiting NCT03375593 - Narcotic Versus Non-narcotic Medication for Pain Management After Wrist/Hand Fractures Phase 4