This study aims to compare the clinical and radiological outcomes of distal radius fractures treated with cross K-wire fixation using the antegrade versus retrograde technique. Adult patients with extra-articular distal radius fractures will be randomly assigned to one of the two surgical approaches. The primary outcomes include fracture stability, functional recovery, and complication rates. The study is designed as a prospective, randomized controlled trial conducted at sohag university
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
30
\> Closed reduction of distal radius fracture followed by percutaneous insertion of two or more K-wires in an antegrade direction (from proximal to distal), crossing the fracture site under fluoroscopic guidance. The wires are introduced from the radial metaphysis and directed distally to stabilize the fracture.
Radiological union of distal radius fracture
Radiographic healing will be assessed using standard X-rays to evaluate union status. Radiographs will be reviewed for signs of cortical continuity and absence of fracture lines
Time frame: At 6 weeks, 3 months, and 6 months postoperatively
Functional outcome using DASH score
Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire will be used to assess upper limb function
Time frame: At 6 weeks, 3 months, and 6 months postoperatively
Pain level using Visual Analog Scale (VAS)
Pain will be evaluated using the Visual Analog Scale (0-10), with 0 indicating no pain and 10 indicating worst pain
Time frame: At 1 week, 6 weeks, 3 months, and 6 months postoperatively
Elshazly S Mousa, professer
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