Subcapital and Shaft Fractures of the 5. Metacarpal

St. Olavs Hospital

Status: Terminated

Conditions: Fracture

Treatments: Procedure: Reduction and Plaster of Paris; Procedure: Closed reduction and fixation with 2 pins

Study type: Interventional

Funder types: Other

Identifiers

NCT01242982

TOSL-2010

Details and patient eligibility

About

The purpose of this study is to find out the best treatment for subcapital and shaft fractures of the 5. metacarpal.

It is a prospective randomized multicenter study. Comparing only fractures dislocated more than 30 degrees.

One group will be operated with intramedullary pins and one group will be treated conservatively with reduction and then Plaster of Paris for 3 weeks.

All patients will be followed up after 3, 6 and 12 months.

Full description

See above

Enrollment: 39 patients

Sex: All

Ages: 18 to 45 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• voluntarily, only isolated subcapital og shaft fracture of the 5. metacarpal,operated/reduction within 10 days of injury,not intoxicated,degree of fracture dislocation minimum 30 degrees measured on the X-ray.

Exclusion criteria

• open fractures, fractures of the head of 5. metacarpal/intraarticular fractures, patients who wants to be followed up at Hospitals outside the study area, earlier injury of the hand that might have influence on function.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

39 participants in 2 patient groups

Operation

Experimental group

Description:

Closed reduction and operated for fixation with 2 antegrade intramedullary Kirschner wires.

Treatment:

Procedure: Closed reduction and fixation with 2 pins

Conservative treatment

Active Comparator group

Description:

Treated conservatively with reduction and then Plaster of Paris.

Treatment:

Procedure: Reduction and Plaster of Paris