Results Of Usage Of Bridging Plate In Multi-fragmentary Distal Radius Fracture

N/AActive Not RecruitingNCT06723483

Mina Hany Moris Zakhary50 enrolled

Overview

using a plate as a distraction method bridging the comminution to restore anatomical parameters to treat comminuted distal radius fracture follow-up functional outcomes of the wrist after metal removal

The plate is extended from the floor of the 2end extensor compartment at an intact radius to the 2end metacarpal by dual minimally invasive skin incisions. One distal over 2end metacarpal and Other proximal over 2end extensor compartment at intact radius application of distal screws 1st, then the traction is done to restore radial length, radial inclination, and volar tilt followed by the application of proximal screws add wires to restore the joint congruity wire removal after 45 days, plate removal after 100 day follow up every 3 months till 1 year post-operative Assess the Functional Outcome Of the wrist joint after metal removal

Study Type

OBSERVATIONAL

Enrollment

Conditions

Distal Radius Fractures Mechanical Complication of Internal Rod Fixation Device Internal Fixation; Complications

Interventions

Distraction PlatePROCEDURE

This technique deals with comminuted distal radius fracture using a distraction plate. The plate was inserted by minimally invasive skin incisions, fixed from the 2end metacarpal distally to the 2end extensor compartment at intact radius proximally Spaning the comminution, Restoring the Radial Length, Radial Inclination, Volar Tilt

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Skeletally mature patients 2. presented with multifragmentary distal radius fractures classify type 23-3C according to AO classification 3. articular with or without metaphyseal comminution 4. Very distal fractures 5 )osteoporotic bone fractures Exclusion Criteria: 1. Dorsal soft tissue defect or tendon injuries 2. Metacarpal fractures (esp 2end MC) 3. open grade 3 fractures

Locations (1)

Faculty of medicine assuit university

Asyut, Egypt

Outcomes

Primary Outcomes

Modified Mayo Wrist Score (MMWS)

Combines subjective and objective parameters to evaluate wrist functionality.

Time frame: Mean follow-up period is 1 year postoperative.

Secondary Outcomes

Wrist Range of Movement

Measurements include: Flexion (degrees) Extension (degrees) Pronation (degrees) Supination (degrees) Each measurement will be assessed separately using a goniometer.

Time frame: Mean follow-up period is 1 year postoperative.

Data from ClinicalTrials.gov

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