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Not yet recruiting NCT07108543

Antegrade Versus Retrograde Cross K-Wire In Distal Radius Fracture

No phase Interventional Distal Radius Fractures

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: Antegrade versus retrograde cross k-wire.
Who it may be relevant to
Registry conditions: Distal Radius Fractures. Basic parameters: 18 years — 65 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
Center list to be confirmed — check the primary protocol.
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Official title

Antegrade Versus Retrograde Cross K-Wire In Distal Radius Fracture; A Comparative Study

Overview

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

Interventions

  • Procedure Antegrade versus retrograde cross k-wire
    \> Closed reduction of distal radius fracture followed by percutaneous insertion of two or more K-wires in an antegrade direction (from proximal to distal), crossing the fracture site under fluoroscopic guidance. The wires are introduced from the radial metaphysis and directed distally to stabilize the fracture.

Primary outcome measures

  • Radiological union of distal radius fracture [Time frame: At 6 weeks, 3 months, and 6 months postoperatively]
Secondary outcome measures (2)
  • Functional outcome using DASH score [Time frame: At 6 weeks, 3 months, and 6 months postoperatively]
  • Pain level using Visual Analog Scale (VAS) [Time frame: At 1 week, 6 weeks, 3 months, and 6 months postoperatively]

Eligibility criteria

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.

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

Healthy volunteers: No

Study design

Allocation
Randomized
Model
Parallel assignment
Masking
Open label
Primary purpose
Treatment

Study locations

Center list to be confirmed — check the primary protocol.

Identifiers

NCT: NCT07108543 · Soh-Med-25--24MS

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗