Antegrade Versus Retrograde Cross K-Wire In Distal Radius Fracture

NCT07108543 | Not Yet Recruiting

• 1 other identifier: Soh-Med-25--24MS
• Study Type: interventional
• Target: 30
• Locations: 0 countries
• Sites: N/A

Brief Summary

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

Conditions

Distal Radius Fractures

Outcome Measures

Primary Outcomes (1)

• 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

Secondary Outcomes (2)

• Functional outcome using DASH score

  At 6 weeks, 3 months, and 6 months postoperatively

• Pain level using Visual Analog Scale (VAS)

  At 1 week, 6 weeks, 3 months, and 6 months postoperatively

Study Arms (2)

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

Procedure: Antegrade versus retrograde cross k-wire

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

Procedure: Antegrade versus retrograde cross k-wire

Interventions

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.

Arm 1 Title: Antegrade K-wire Fixation; Arm 2 Title: Retrograde K-wire Fixation

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

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

You may not qualify if:

• 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.

Sponsors & Collaborators

• Sohag University: lead

MeSH Terms

Conditions

Wrist Fractures

Condition Hierarchy (Ancestors)

Wrist Injuries; Arm Injuries; Wounds and Injuries; Fractures, Bone

Central Study Contacts

Montasser T Omar, resident

CONTACT

01550793173; montassertalaat3@gmail.com

Elshazly S Mousa, professer

CONTACT

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: resident orthopeadics sohag university

Model Details: 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.

Study Record Dates

• First Submitted: July 30, 2025
• First Posted: August 7, 2025
• Study Start: August 1, 2025
• Primary Completion: February 1, 2026
• Study Completion: February 1, 2026
• Last Updated: August 7, 2025

Record last verified: 2025-07