Elastic Nail Versus Screw for Intramedullary Fixation of Displaced Fractures of the Fifth Metacarpal Neck

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-60
SponsorIstanbul University

About this trial

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.

Eligibility criteria

Qualifiers

Patients aged 18-60 years with displaced fifth metacarpal fractures with angulation greater than 30 degrees

Disqualifiers

Open fracture

Patients with multiple injuries

History of hand surgery

Intraarticular metacarpal neck fractures

Trial design

Treatments tested in this trial

  • Radiologic examination
  • Grip Strength
  • Quick DASH Questionnaire

Treatment groups

46 Participants
are divided into 2 treatment groups

Sponsors and collaborators