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NCT Number: NCT07108543

Antegrade Versus Retrograde Cross K-Wire In Distal Radius Fracture

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

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Key information

Conditions

Distal Radius Fractures Arm Injuries Fractures, Bone Wounds and Injuries Wrist Fractures Wrist Injuries

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Patients with extra-articular distal radius fractures. Fractures classified as Frykmann type 1 and type 2. Patients aged 18 years and above.

Exclusion criteria

  • Skeletally immature patient.
  • Intra-articular distal radius fractures.
  • Communited fractures.
  • Open fractures or fractures with neurovascular compromise.
  • Patients with fractures requiring surgical interventions other than K-wire fixation.
  • Patients with a history of infection or other conditions impair wound healing.

Treatment and study plan

Antegrade versus retrograde cross k-wire

Procedure

> 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.

Primary outcomes

  1. Radiological union of distal radius fracture

    Time frame: At 6 weeks, 3 months, and 6 months postoperatively

    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

Secondary outcomes

  1. Functional outcome using DASH score

    Time frame: At 6 weeks, 3 months, and 6 months postoperatively

    Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire will be used to assess upper limb function

  2. Pain level using Visual Analog Scale (VAS)

    Time frame: At 1 week, 6 weeks, 3 months, and 6 months postoperatively

    Pain will be evaluated using the Visual Analog Scale (0-10), with 0 indicating no pain and 10 indicating worst pain

Study contacts

Contact information is provided by the study sponsor or research team.

Elshazly S Mousa, professer

CONTACT

Montasser T Omar, resident

CONTACT

[email protected]

01550793173

Sponsors and collaborators

Lead sponsor

Sohag University

Other

Registry information

Official study title

Antegrade Versus Retrograde Cross K-Wire In Distal Radius Fracture; A Comparative Study

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Aug 7, 2025
Registry last updated
Aug 7, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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