Elastic Nail Versus Screw for Intramedullary Fixation of Displaced Fractures of the Fifth Metacarpal Neck
Elastic Nail Versus Screw for Closed Reduction and Intramedullary Fixation of Displaced Fractures of the Fifth Metacarpal Neck: a Randomised Controlled Trial
Istanbul University
46 participants
Sep 1, 2023
INTERVENTIONAL
Summary
The goal of this clinical trial is to compare two different intramedullary fixation technique in patient diagnosed with deplased fifth metacarpal neck fracture. The main questions it aims to answer are: * Can percutaneous screw application be a more stable fixation method than intramedullary elastic nail application? * Can screw application create a significant difference in the recovery of grip strength in the early period compared to elastic nail application? Patients will be followed up at the 1st week, 1st month and 3rd month postoperatively. Functionality will be evaluated with Quick DASH score at the 3rd month. At the 1st and 3rd month controls, grip strength will be evaluated. At the same time, metacarpal shortening and angulations will be measured on x-ray. Researchers will compare percutaneous screw and elastic nail group to see grip strength, healing time and radiologic parameter difference.
Eligibility
Inclusion Criteria1
- Patients aged 18-60 years with displaced fifth metacarpal fractures with angulation greater than 30 degrees
Exclusion Criteria4
- Open fracture
- Patients with multiple injuries
- History of hand surgery
- Intraarticular metacarpal neck fractures
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Interventions
Posoperative first week, month and third month On the x-ray of Hand AP view: metacarpal shortening On the x-ray of Hand 30 degree pronation view: dorsal angulation
Postoperative first month and third month grip streng compare with Cambry hand dinamometer.
Quick DASH is an 11-question questionnaire that assesses upper extremity functionality.
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT06449755