Transverse Pinning Versus Antegrade Intramedullary Pinning for Neck and Shaft Metatarsal Fractures
Sohag University
40 participants
Feb 1, 2026
INTERVENTIONAL
Conditions
Summary
The aim of this prospective randomized controlled clinical trial study is to compare clinical, functional and radiological results of transverse pinning and antegrade intramedullary pinning for neck and shaft metatarsal fractures
Eligibility
Inclusion Criteria5
- ⦁ Age ≥ 18 years.
- Both sexes.
- Displaced metatarsal neck or shaft fractures.
- Unstable fracture for which reduction could not be maintained after closed reduction.
- Open fractures
Exclusion Criteria3
- ⦁ Fractures combined with Lisfranc injury.
- Other concomitant fractures.
- Non displaced fracture
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Interventions
⦁ Transverse Pinning Under spinal anaesthesia, the patient will be placed in the supine position. Under the guidance of an image intensifier, gentle longitudinal traction will be applied and percutaneous manipulation will be done using k wires and digital pressure.
Antegrade Intramedullary Pinning Under spinal anesthesia, the patient will be placed in the supine position. Under guidance of an image intensifier, a small incision will be made over the dorsal aspect of the foot at the proximal end of the fractured metatarsal. Soft tissue will be dissected, taking care not to injure neurovascular structures and extensor tendons. An entry hole will be then made with a 2.0-mm drill bit. A 1.6-mm K-wire will be prepared with distal end bent through 5 and the prepared K-wire will be held by T-handle. The K-wire will be inserted through the entry hole and will be advanced to the medullary canal
Locations(1)
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NCT07528092