RecruitingNot ApplicableNCT06449755

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


Sponsor

Istanbul University

Enrollment

46 participants

Start Date

Sep 1, 2023

Study Type

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

Min Age: 18 YearsMax Age: 60 Years

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

DIAGNOSTIC_TESTRadiologic examination

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

PROCEDUREGrip Strength

Postoperative first month and third month grip streng compare with Cambry hand dinamometer.

OTHERQuick DASH Questionnaire

Quick DASH is an 11-question questionnaire that assesses upper extremity functionality.


Locations(1)

Istanbul Unıversity Medicine Faculty Orthopaedic Department

Istanbul, Fatih, Turkey (Türkiye)

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NCT06449755