Subcapital and Shaft Fractures of the 5. Metacarpal

St. Olavs Hospital39 enrolled

Overview

The purpose of this study is to find out the best treatment for subcapital and shaft fractures of the 5. metacarpal. It is a prospective randomized multicenter study. Comparing only fractures dislocated more than 30 degrees. One group will be operated with intramedullary pins and one group will be treated conservatively with reduction and then Plaster of Paris for 3 weeks. All patients will be followed up after 3, 6 and 12 months.

See above

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Fracture

Interventions

Closed reduction and fixation with 2 pinsPROCEDURE

Closed reduction and fixation with 2 antegrade intramedullary Kirschner wires. Cast for 2 weeks. Control after 2 and 5 weeks. Thereafter a control after 3,6 and 12 months

Reduction and Plaster of ParisPROCEDURE

Closed reduction in local anesthesia and a Plaster of Paris for max. 3 weeks. Control after 1 and 3 weeks, thereafter control after 3,6 and 12 months

Eligibility

Sex: ALLMin age: 18 YearsMax age: 45 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * voluntarily, only isolated subcapital og shaft fracture of the 5. metacarpal,operated/reduction within 10 days of injury,not intoxicated,degree of fracture dislocation minimum 30 degrees measured on the X-ray. Exclusion Criteria: * open fractures, fractures of the head of 5. metacarpal/intraarticular fractures, patients who wants to be followed up at Hospitals outside the study area, earlier injury of the hand that might have influence on function.

Locations (5)

Ålesund sjukehus, Helse Sunmøre

Ålesund, Møre og Romsdal, Norway

Kristiansund sykehus, Helse Nord Møre og Romsdal

Kristiansund-N, Møre og Romsdal, Norway

Molde sykehus, Helse Nordmøre og Romsdal

Molde, Møre og Romsdal, Norway

Sykehuset Namsos, Helse Nord-Trøndelag

Namsos, Nord -Trøndelag, Norway

Outcomes

Primary Outcomes

Clinical outcome comparing conservative and operative treatment of subcapital and shaft fractures of the 5. metacarpal

The goal is 200 patients with shaft and subcapital fractures of the 5.metacarpal. In each group the goal is 100 patients there 50 patients will be operated (2 intramedullary pins) and 50 patients undergo conservative treatment. The follow up is 1 year.

Time frame: 2 -3 years

Data from ClinicalTrials.gov

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