Compartive Study Between Cannulated Screw and Kws in Fixation of Distal Radius

NCT07523386 | Recruiting DMC

• 1 other identifier: Soh-Med-26-3-2MS
• Study Type: interventional
• Target: 34
• Locations: 1 country
• Sites: 1

Brief Summary

This comparative study aims to evaluate the clinical and radiological outcomes of cannulated screw fixation versus K-wire fixation in the treatment of distal radius fractures. Adult patients with distal radius fractures will be allocated to either cannulated screw fixation or K-wire fixation. The primary outcome measure will be functional outcome assessed using the DASH score, with secondary outcomes including radiographic parameters and complication rates.

Conditions

Distal Radius Fractures

Keywords

Compartive Study Between Cannulated screw and K-wire Fixation In Treatment Of Distal Radius Fractures

Outcome Measures

Primary Outcomes (3)

• Functional recovery using DASH (Disabilities of the Arm, Shoulder, and Hand) score

  Assess functional improvement of the wrist and hand in patients undergoing either cannulated screw or K-wire fixation.

  6months postoperatively

• Functional recovery using DASH (Disabilities of the Arm, Shoulder, and Hand) score

  Assess functional improvement of the wrist and hand in both groups at 6 months follow-up.

  6months postoperatively

• Functional recovery using DASH (Disabilities of the Arm, Shoulder, and Hand) score

  Assess functional improvement of the wrist and hand in both groups at 6 months follow-up.

  6 months postoperatively

Study Arms (2)

Cannulated Screw Fixation

OTHER

Arm 1: Cannulated Screw Fixation Description: Patients in this group will undergo surgical fixation of distal radius fractures using cannulated screws. Postoperative functional outcomes will be assessed using the DASH score at 6 months. Radiographic alignment (radial height, radial inclination, and volar tilt) and complication rates will also be recorded

Procedure: Cannulated screw Fixation In Treatment Of Distal Radius

K-wire fixation

NO INTERVENTION

Patients in this group will undergo surgical fixation of distal radius fractures using percutaneous K-wires. The procedure involves closed reduction followed by insertion of K-wires under fluoroscopic guidance. Postoperative care includes immobilization and physiotherapy. Functional outcomes will be assessed using the DASH score at 6 months, and radiographic alignment and complication rates will be monitored.

Interventions

Cannulated screw Fixation In Treatment Of Distal Radius PROCEDURE

Patients assigned to this group will undergo surgical fixation of distal radius fractures using cannulated screws. The procedure involves open reduction and internal fixation with appropriate screw placement under fluoroscopic guidance. Postoperative care includes standard immobilization, physiotherapy, and follow-up visits to assess functional recovery using the DASH score and radiographic alignment. Complications such as infection, malunion, or hardware failure will be monitored.

Cannulated Screw Fixation

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• \_Patients aged between 18\_60years 2-Patuents with displaced or unstable Distal Radius Fractures requiring surgical Fixation 3-Type A Extra articular Fractures 4-Patients fit for surgery and willing to participate in the study

You may not qualify if:

• open distal Radius Fractures 2-Pathological Fractures 3-Previous Fractures or surgeries affecting the wrist 4-Associated neurovascular injury 5-polytrauma patient 6-Patients with severe osteoporotic or systemic condition affecting bone healing

Sponsors & Collaborators

• Sohag University: lead

Study Sites (1)

Sohag university hospital

Sohag, Naser City, Egypt

RECRUITING

MeSH Terms

Conditions

Wrist Fractures

Condition Hierarchy (Ancestors)

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

Central Study Contacts

Ahmed Mahmoud Tammam, Practiciant

CONTACT

01020745267; ahmd.tamam2425@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor of Orthopedic Surgery

Study Record Dates

• First Submitted: April 5, 2026
• First Posted: April 13, 2026
• Study Start (Estimated): April 22, 2026
• Primary Completion (Estimated): January 22, 2027
• Study Completion (Estimated): January 23, 2027
• Last Updated: April 13, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)