Comparative Study Between Cannulated Screws and K-wires in the Fixation of Distal Radius Fractures

Sohag University

Status: Enrolling

Conditions: Distal Radius Fractures

Treatments: Procedure: Cannulated screw Fixation In Treatment Of Distal Radius

Study type: Interventional

Funder types: Other

Identifiers

NCT07523386

Soh-Med-26-3-2MS

Details and patient eligibility

About

This comparative study aims to evaluate the clinical and radiological outcomes of cannulated screw fixation versus K-wire fixation in the treatment of distal radius fractures. Adult patients with distal radius fractures will be allocated to either cannulated screw fixation or K-wire fixation. The primary outcome measure will be functional outcome assessed using the DASH score, with secondary outcomes including radiographic parameters and complication rates.

Full description

Distal radius fractures are among the most common orthopedic injuries in adults. Various fixation techniques are used depending on fracture pattern and surgeon preference. Cannulated screw fixation and K-wire fixation are minimally invasive techniques commonly used in selected fracture types; however, there is ongoing debate regarding their comparative effectiveness in terms of functional recovery and complication rates.

This prospective comparative study will include patients diagnosed with distal radius fractures who meet the inclusion criteria. Participants will be allocated into two groups: Group A will undergo fixation using cannulated screws, and Group B will undergo fixation using K-wires. Patients will be followed for a period of 6 months postoperatively.

The primary outcome will be functional assessment using the DASH score at 6 months. Secondary outcomes will include radiographic parameters (radial height, radial inclination, and volar tilt), time to union, and postoperative complications.

Enrollment: 34 estimated patients

Sex: All

Ages: 18 to 60 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Patients aged between 18_60years.
• Patients with displaced or unstable Distal Radius Fractures requiring surgical Fixation.
• Type A Extra articular Fractures.
• Patients fit for surgery and willing to participate in the study.

Exclusion criteria

• open distal Radius Fractures.
• Pathological Fractures.
• Previous Fractures or surgeries affecting the wrist.
• Associated neurovascular injury.
• polytrauma patient.
• Patients with severe osteoporotic or systemic condition affecting bone healing.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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34 participants in 2 patient groups

Cannulated Screw Fixation

Other group

Description:

Arm 1: Cannulated Screw Fixation Description: Patients in this group will undergo surgical fixation of distal radius fractures using cannulated screws. Postoperative functional outcomes will be assessed using the DASH score at 6 months. Radiographic alignment (radial height, radial inclination, and volar tilt) and complication rates will also be recorded

Treatment:

Procedure: Cannulated screw Fixation In Treatment Of Distal Radius

K-wire fixation

No Intervention group

Description:

Patients in this group will undergo surgical fixation of distal radius fractures using percutaneous K-wires. The procedure involves closed reduction followed by insertion of K-wires under fluoroscopic guidance. Postoperative care includes immobilization and physiotherapy. Functional outcomes will be assessed using the DASH score at 6 months, and radiographic alignment and complication rates will be monitored.