Results Of Usage Of Bridging Plate In Multi-fragmentary Distal Radius Fracture

Mina Hany Moris Zakhary

Status: Active, not recruiting

Conditions: Distal Radius Fractures; Internal Fixation; Complications; Mechanical Complication of Internal Rod Fixation Device

Treatments: Procedure: Distraction Plate

Study type: Observational

Funder types: Other

Identifiers

NCT06723483

04-2024-200841

Details and patient eligibility

About

using a plate as a distraction method bridging the comminution to restore anatomical parameters to treat comminuted distal radius fracture follow-up functional outcomes of the wrist after metal removal

Full description

The plate is extended from the floor of the 2end extensor compartment at an intact radius to the 2end metacarpal by dual minimally invasive skin incisions.

One distal over 2end metacarpal and Other proximal over 2end extensor compartment at intact radius application of distal screws 1st, then the traction is done to restore radial length, radial inclination, and volar tilt followed by the application of proximal screws add wires to restore the joint congruity wire removal after 45 days, plate removal after 100 day follow up every 3 months till 1 year post-operative Assess the Functional Outcome Of the wrist joint after metal removal

Enrollment: 50 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Skeletally mature patients
2. presented with multifragmentary distal radius fractures classify type 23-3C according to AO classification
3. articular with or without metaphyseal comminution
4. Very distal fractures 5 )osteoporotic bone fractures

Exclusion criteria

1. Dorsal soft tissue defect or tendon injuries
2. Metacarpal fractures (esp 2end MC)
3. open grade 3 fractures