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

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

Active, Not Recruiting

This study is active but is not currently recruiting participants.

Notify Me

Key information

Conditions

Distal Radius Fractures Arm Injuries Fractures, Bone Internal Fixation; Complications Mechanical Complication of Internal Rod Fixation Device Wounds and Injuries Wrist Fractures Wrist Injuries

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Faculty of medicine assuit university

Asyut, Egypt

About this study

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

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

Skeletally mature patients
presented with multifragmentary distal radius fractures classify type 23-3C according to AO classification
articular with or without metaphyseal comminution
Very distal fractures 5 )osteoporotic bone fractures

Exclusion criteria

Dorsal soft tissue defect or tendon injuries
Metacarpal fractures (esp 2end MC)
open grade 3 fractures

Treatment and study plan

Distraction Plate

Procedure

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

Other names: bride plating, bridging plate

Primary outcomes

Modified Mayo Wrist Score (MMWS)

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

Combines subjective and objective parameters to evaluate wrist functionality.

Secondary outcomes

Wrist Range of Movement

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

Measurements include:

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

Sponsors and collaborators

Lead sponsor

Mina Hany Moris Zakhary

Other

Registry information

Important dates

Study start: 2024
Primary completion: 2025
Study completion: 2026
First posted: Dec 9, 2024
Registry last updated: Dec 9, 2024

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.

Published trials that share one or more normalized conditions with this study.

Active, Not Recruiting