Transverse Pinning Versus Antegrade Intramedullary Pinning for Neck and Shaft Metatarsal Fractures

NCT07528092 | Recruiting

• 1 other identifier: soh-med-26-1-5MS
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this prospective randomized controlled clinical trial study is to compare clinical, functional and radiological results of transverse pinning and antegrade intramedullary pinning for neck and shaft metatarsal fractures

Conditions

Transverse Pinning for Metatarsal Fractures; Versus Antegrade Intramedullary Pinning for Metatarsal Fractures

Keywords

neck and shaft Metatarsal Fractures

Outcome Measures

Primary Outcomes (1)

• ⦁ Time to bone union

  Immediate motion of the MTP joint and partial weightbearing in a stiff-soled shoe will be allowed. full weightbearing will be permitted 4 weeks after the operation. K-wires will be removed when pain subsided, which will be usually at 6 to 8 weeks for metatarsal head or neck fractures. For metatarsal shaft fractures, K-wires will be removed 3 months after the operation. union will be confirmed in radiographs taken at 12 weeks. Union will be confirmed by the presence of bridging trabeculae across the fracture site and resolution of fracture lines.

  12 weeks

Secondary Outcomes (3)

• ⦁ Foot function using the Foot and Ankle Ability Measure (FAAM)

  6 months

• ⦁ Pain intensity using the visual analog scale (VAS)

  6 months

• ⦁ Incidence of complications. ⦁ Incidence of complications. ⦁ Incidence of complications. ⦁ Incidence of complications.⦁ Incidence of complications. ⦁ Incidence of complications.

  6 months

Study Arms (2)

group A

ACTIVE COMPARATOR

⦁ Group A: 20 patients who will be treated by transverse pinning for neck or shaft metatarsal fractures

Procedure: Transverse Pinning for neck and shaft Metatarsal Fractures

group B

ACTIVE COMPARATOR

⦁ Group B: 20 patients who will be treated by antegrade intramedullary pinning for neck or shaft metatarsal fractures.

Procedure: Antegrade Intramedullary Pinning for neck and shaft Metatarsal Fractures

Interventions

Transverse Pinning for neck and shaft Metatarsal Fractures PROCEDURE

⦁ Transverse Pinning Under spinal anaesthesia, the patient will be placed in the supine position. Under the guidance of an image intensifier, gentle longitudinal traction will be applied and percutaneous manipulation will be done using k wires and digital pressure.

group A

Antegrade Intramedullary Pinning for neck and shaft Metatarsal Fractures PROCEDURE

Antegrade Intramedullary Pinning Under spinal anesthesia, the patient will be placed in the supine position. Under guidance of an image intensifier, a small incision will be made over the dorsal aspect of the foot at the proximal end of the fractured metatarsal. Soft tissue will be dissected, taking care not to injure neurovascular structures and extensor tendons. An entry hole will be then made with a 2.0-mm drill bit. A 1.6-mm K-wire will be prepared with distal end bent through 5 and the prepared K-wire will be held by T-handle. The K-wire will be inserted through the entry hole and will be advanced to the medullary canal

group B

Eligibility Criteria

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

You may qualify if:

• ⦁ Age ≥ 18 years.
• Both sexes.
• Displaced metatarsal neck or shaft fractures.
• Unstable fracture for which reduction could not be maintained after closed reduction.
• Open fractures

You may not qualify if:

• ⦁ Fractures combined with Lisfranc injury.
• Other concomitant fractures.
• Non displaced fracture

Sponsors & Collaborators

• Sohag University: lead

Study Sites (1)

Sohag University Hospital

Sohag, 82511, Egypt

RECRUITING

Related Links

• Closed Antegrade Intramedullary Pinning for Reduction and Fixation of Metatarsal Fractures
• Closed Transverse Pinning for Reduction and Fixation of Metatarsal Neck Fractures: Surgical Technique
• Transverse pinning of concomitant first and second metatarsal fractures using 1.5mm K-wires; case report and technical note

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: orthopedic resident

Study Record Dates

• First Submitted: April 7, 2026
• First Posted: April 14, 2026
• Study Start: February 1, 2026
• Primary Completion (Estimated): November 1, 2026
• Study Completion (Estimated): February 1, 2027
• Last Updated: April 16, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)