Antegrade Versus Retrograde Cross K-Wire In Distal Radius Fracture

Sohag University

Status: Not yet enrolling

Conditions: Distal Radius Fractures

Treatments: Procedure: Antegrade versus retrograde cross k-wire

Study type: Interventional

Funder types: Other

Identifiers

NCT07108543

Soh-Med-25--24MS

Details and patient eligibility

About

This study aims to compare the clinical and radiological outcomes of distal radius fractures treated with cross K-wire fixation using the antegrade versus retrograde technique. Adult patients with extra-articular distal radius fractures will be randomly assigned to one of the two surgical approaches. The primary outcomes include fracture stability, functional recovery, and complication rates. The study is designed as a prospective, randomized controlled trial conducted at sohag university

Enrollment: 30 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Patients with extra-articular distal radius fractures. Fractures classified as Frykmann type 1 and type 2. Patients aged 18 years and above.

Exclusion criteria

• Skeletally immature patient.
• Intra-articular distal radius fractures.
• Communited fractures.
• Open fractures or fractures with neurovascular compromise.
• Patients with fractures requiring surgical interventions other than K-wire fixation.
• Patients with a history of infection or other conditions impair wound healing.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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30 participants in 2 patient groups

Arm 1 Title: Antegrade K-wire Fixation

Experimental group

Description:

participants in this group will undergo antegrade percutaneous cross K-wire fixation for distal radius fractures. K-wires will be inserted from proximal to distal direction under fluoroscopic guidance, following closed reduction

Treatment:

Procedure: Antegrade versus retrograde cross k-wire

Arm 2 Title: Retrograde K-wire Fixation

Experimental group

Description:

Participants in this group will undergo retrograde percutaneous cross K-wire fixation for distal radius fractures. K-wires will be inserted from distal to proximal direction under fluoroscopic guidance, following closed reduction

Treatment:

Procedure: Antegrade versus retrograde cross k-wire