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Not yet recruiting NCT06543485

Headless Screw Fixation for Metacarpal Fractures in Adults.

No phase Interventional Metacarpal Fractures in Adults

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: intramedullary screw fixation of metacarpal fractures.
Who it may be relevant to
Registry conditions: Metacarpal Fractures in Adults. Basic parameters: 18 years — 70 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
Egypt
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

Unsure about the terms? Read our patient guide →

Official title

Results of Intramedullary Headless Screw Fixation for Metacarpal Fractures in Adults.

Overview

The goal of this study is to evaluate results of intramedullary screw fixation of metacarpal fractures while summarizing the pearls and pitfalls to maximize successful surgical outcomes in adults, Metacarpal fractures are third most common upper extremity fractures, Intramedullary screw Fixation is a fixation option that offers rigid stability, early active range of motion, and simplicity of insertion,

Interventions

  • Procedure intramedullary screw fixation of metacarpal fractures
    intramedullary screw fixation of metacarpal fractures through limited open approach

Primary outcome measures

  • early active range of motion [Time frame: 3 days-12 weeks after surgery]

Eligibility criteria

Inclusion criteria

  • Adult patients.
  • Metacarpal shaft fractures.
  • Simple fractures.
  • Recent fractures within 1-2 weeks.
  • Isolated metacarpal fractures.

Exclusion criteria

  • Pediatric fractures with open physis.
  • Head-splitting fractures and Metacarpal basal fractures.
  • Compound fracture increasing risk of infection.
  • medical illness or mental disorders affecting the follow-up examination.
  • Association with other fractures fixed by methods that limit early range of motion.
  • pathologic fractures.

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
N/A
Model
Single group
Masking
Open label
Primary purpose
Treatment

Study locations

Egypt · 1 center
  • Faculty of Medicine Sohag University — Sohag

Publications

  • Nakashian MN, Pointer L, Owens BD, Wolf JM. Incidence of metacarpal fractures in the US population. Hand (N Y). 2012 Dec;7(4):426-30. doi: 10.1007/s11552-012-9442-0. PMID 24294164
  • Court-Brown CM, Caesar B. Epidemiology of adult fractures: A review. Injury. 2006 Aug;37(8):691-7. doi: 10.1016/j.injury.2006.04.130. Epub 2006 Jun 30. PMID 16814787
  • Karl JW, Olson PR, Rosenwasser MP. The Epidemiology of Upper Extremity Fractures in the United States, 2009. J Orthop Trauma. 2015 Aug;29(8):e242-4. doi: 10.1097/BOT.0000000000000312. PMID 25714441
  • Chung KC, Spilson SV. The frequency and epidemiology of hand and forearm fractures in the United States. J Hand Surg Am. 2001 Sep;26(5):908-15. doi: 10.1053/jhsu.2001.26322. PMID 11561245
  • Page SM, Stern PJ. Complications and range of motion following plate fixation of metacarpal and phalangeal fractures. J Hand Surg Am. 1998 Sep;23(5):827-32. doi: 10.1016/S0363-5023(98)80157-3. PMID 9763256
  • Robinson LP, Gaspar MP, Strohl AB, Teplitsky SL, Gandhi SD, Kane PM, Osterman AL. Dorsal versus lateral plate fixation of finger proximal phalangeal fractures: a retrospective study. Arch Orthop Trauma Surg. 2017 Apr;137(4):567-572. doi: 10.1007/s00402-017-2650-x. Epub 2017 Feb 24. PMID 28236187
  • Siddiqui AA, Kumar J, Jamil M, Adeel M, Kaimkhani GM. Fixation of Metacarpal Fractures Using Intramedullary Headless Compression Screws: A Tertiary Care Institution Experience. Cureus. 2019 Apr 16;11(4):e4466. doi: 10.7759/cureus.4466. PMID 31249744
  • Botte MJ, Davis JL, Rose BA, von Schroeder HP, Gellman H, Zinberg EM, Abrams RA. Complications of smooth pin fixation of fractures and dislocations in the hand and wrist. Clin Orthop Relat Res. 1992 Mar;(276):194-201. PMID 1537152

Identifiers

NCT: NCT06543485 · soh-med-24-07-13MS

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗