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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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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arm 1 Title: Antegrade K-wire Fixation | Experimental | participants in this group will undergo antegrade percutaneous cross K-wire fixation for distal radius fractures. K-wires will be inserted from proximal to distal direction under fluoroscopic guidance, following closed reduction |
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| Arm 2 Title: Retrograde K-wire Fixation | Experimental | Participants in this group will undergo retrograde percutaneous cross K-wire fixation for distal radius fractures. K-wires will be inserted from distal to proximal direction under fluoroscopic guidance, following closed reduction |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Radiological union of distal radius fracture | 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 | At 6 weeks, 3 months, and 6 months postoperatively |
| Measure | Description | Time Frame |
|---|---|---|
| Functional outcome using DASH score | Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire will be used to assess upper limb function | At 6 weeks, 3 months, and 6 months postoperatively |
| Pain level using Visual Analog Scale (VAS) |
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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:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Montasser T Omar, resident | Contact | 01550793173 | montassertalaat3@gmail.com | |
| Elshazly S Mousa, professer | Contact |
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| ID | Term |
|---|---|
| D000092503 | Wrist Fractures |
| ID | Term |
|---|---|
| D014954 | Wrist Injuries |
| D001134 | Arm Injuries |
| D014947 | Wounds and Injuries |
| D050723 | Fractures, Bone |
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A randomized controlled trial using a parallel assignment model. Participants will be randomly assigned to one of two groups: Group A will undergo cross K-wire fixation using the antegrade technique, and Group B will undergo the retrograde technique. Outcomes will be compared between the two groups.
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Pain will be evaluated using the Visual Analog Scale (0-10), with 0 indicating no pain and 10 indicating worst pain
| At 1 week, 6 weeks, 3 months, and 6 months postoperatively |