Evaluation of Dual Fixation of Distal Ulna Fractures by Flexible Intramedullary Nail and Mini Locked Plate 2.7 mm.

Sohag University18 enrolled

Overview

Although isolated fixation methods, such as intramedullary nails or plate fixation, are commonly employed, certain fracture patterns-particularly comminuted, osteoporotic, or unstable fractures- represent a challenge to achieve stable fixation and restoring normal anatomy . Dual fixation, combining an intramedullary nail with a low-profile 2.7-mm mini locked plate, aims to capitalize on the strengths of both techniques-a concept known as "orthogonal or hybrid stabilization". This combined approach provides enhanced biomechanical stability, allows for early mobilization by sharing the mechanical load, and minimizes the risk of non-union or hardware failure. Studying the clinical and radiological outcomes of this dual fixation strategy is essential to establish its efficacy and safety in managing complex distal ulna fractures.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Distal Ulna Fracture

Interventions

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Displaced distal ulna fractures either isolated or with associated distal radius fractures. * Unstable distal ulna fractures * Age group: \[Adults aged 18 years and older\]. Exclusion Criteria: * Open fractures with severe soft tissue injury (Gustilo type III). * Pathological fractures. * Patients with systemic conditions affecting bone healing e.g. uncontrolled diabetes and severe osteoporosis.

Outcomes

Primary Outcomes

Radiological union

Number of patients achieving complete bone healing as assessed by serial X-rays (presence of bridging callus on 3 out of 4 cortices). Unit of Measure: Number of Participants.

Time frame: 24 Weeks

Secondary Outcomes

Mean Hand Grip Strength

Measurement of the physical force of the hand using a calibrated Jamar hydraulic hand dynamometer. The average of three successive trials with the affected hand will be recorded. Unit of Measure: Kilograms.

Time frame: 24 weeks

Range of Motion (ROM) of the affected joint (wrist)

Clinical measurement of the degree of movement in the joint (flexion, extension, pronation, and supination) using a standard goniometer. Unit of Measure: Degrees.