RecruitingNot ApplicableNCT07523386

Comparative Study Between Cannulated Screws and K-wires in the Fixation of Distal Radius Fractures

A Comparative Study Between Cannulated Screws and K-wires in the Treatment of Distal Radius Fractures

Sponsor

Sohag University

Enrollment

34 participants

Start Date

Apr 22, 2026

Study Type

INTERVENTIONAL

Conditions

Distal Radius Fractures

Summary

This comparative study aims to evaluate the clinical and radiological outcomes of cannulated screw fixation versus K-wire fixation in the treatment of distal radius fractures. Adult patients with distal radius fractures will be allocated to either cannulated screw fixation or K-wire fixation. The primary outcome measure will be functional outcome assessed using the DASH score, with secondary outcomes including radiographic parameters and complication rates.

Eligibility

Min Age: 18 YearsMax Age: 60 Years

Inclusion Criteria4

Patients aged between 18_60years.
Patients with displaced or unstable Distal Radius Fractures requiring surgical Fixation.
Type A Extra articular Fractures.
Patients fit for surgery and willing to participate in the study.

Exclusion Criteria6

open distal Radius Fractures.
Pathological Fractures.
Previous Fractures or surgeries affecting the wrist.
Associated neurovascular injury.
polytrauma patient.
Patients with severe osteoporotic or systemic condition affecting bone healing.

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Interventions

PROCEDURECannulated screw Fixation In Treatment Of Distal Radius

Patients assigned to this group will undergo surgical fixation of distal radius fractures using cannulated screws. The procedure involves open reduction and internal fixation with appropriate screw placement under fluoroscopic guidance. Postoperative care includes standard immobilization, physiotherapy, and follow-up visits to assess functional recovery using the DASH score and radiographic alignment. Complications such as infection, malunion, or hardware failure will be monitored.