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Elastic Nail Versus Screw for Intramedullary Fixation of Displaced Fractures of the Fifth Metacarpal Neck
Sponsor: Istanbul University
Summary
The goal of this clinical trial is to compare two different intramedullary fixation technique in patient diagnosed with deplased fifth metacarpal neck fracture. The main questions it aims to answer are: * Can percutaneous screw application be a more stable fixation method than intramedullary elastic nail application? * Can screw application create a significant difference in the recovery of grip strength in the early period compared to elastic nail application? Patients will be followed up at the 1st week, 1st month and 3rd month postoperatively. Functionality will be evaluated with Quick DASH score at the 3rd month. At the 1st and 3rd month controls, grip strength will be evaluated. At the same time, metacarpal shortening and angulations will be measured on x-ray. Researchers will compare percutaneous screw and elastic nail group to see grip strength, healing time and radiologic parameter difference.
Official title: Elastic Nail Versus Screw for Closed Reduction and Intramedullary Fixation of Displaced Fractures of the Fifth Metacarpal Neck: a Randomised Controlled Trial
Key Details
Gender
All
Age Range
18 Years - 60 Years
Study Type
INTERVENTIONAL
Enrollment
46
Start Date
2023-09-01
Completion Date
2025-02-01
Last Updated
2024-06-10
Healthy Volunteers
No
Conditions
Interventions
Radiologic examination
Posoperative first week, month and third month On the x-ray of Hand AP view: metacarpal shortening On the x-ray of Hand 30 degree pronation view: dorsal angulation
Grip Strength
Postoperative first month and third month grip streng compare with Cambry hand dinamometer.
Quick DASH Questionnaire
Quick DASH is an 11-question questionnaire that assesses upper extremity functionality.
Locations (1)
Istanbul Unıversity Medicine Faculty Orthopaedic Department
Istanbul, Fatih, Turkey (Türkiye)