Fracture of Metacarpal Bone Clinical Trial
Official title:
Single Versus Double Kirschner Wires for Intramedullary Fixation of Metacarpal V Fractures
Metacarpal V fractures are injuries of the upper extremities. They occur frequently,
primarily in young adults.These fractures are caused by falling on the fist, sports accidents
and direct or indirect forces.
Surgical intervention is necessary for fractures with a strong palmar angulation of the
metacarpal bone or rotational deformity of the small finger. Due to the absence of guideline
recommendations decisions about therapy are made taking into account logistical aspects,
available hardware, individual expertise and preferences. The objective of the study is to
compare the advantages and disadvantages of single versus double Kirschner wires for
intramedullary fixation of metacarpal V fractures in order to standardize national therapy
procedures.
Primary hypothesis:
In the surgical therapy of the dislocated and/or rotational deformed metacarpal V neck
fracture, osteosynthesis with a single Kirschner wire is not inferior to osteosynthesis with
a double Kirschner wire with regard to the functional outcome after 6 month, as measured with
the Disabilities of the Arm, Shoulder and Hands Score (DASH).
n/a