Cannulated screws versus K-wires for fixing distal radius (wrist) fractures
A Comparative Study Between Cannulated Screws and K-wires in the Treatment of Distal Radius Fractures
This study will test whether cannulated screws or K-wires lead to better arm function and fewer complications in adults (18–60) with displaced extra-articular distal radius fractures.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 34 (estimated) |
| Ages | 18 Years to 60 Years |
| Sex | All |
| Sponsor | Sohag University Academic / other |
| Locations | 1 site (Sohag, Naser City) |
| Trial ID | NCT07523386 on ClinicalTrials.gov |
What this trial studies
This is a prospective, two-group comparative study that assigns adults with displaced extra‑articular distal radius fractures to fixation with either cannulated screws or K-wires. Participants will undergo the assigned minimally invasive fixation and be followed for 6 months postoperatively. The primary outcome is wrist function measured by the DASH score at 6 months, with secondary outcomes including radiographic alignment (radial height, inclination, volar tilt), time to union, and complication rates. The goal is to directly compare clinical and radiological recovery between the two commonly used fixation methods.
Who should consider this trial
Good fit: Adults aged 18–60 with displaced or unstable extra‑articular distal radius fractures who are fit for surgery and willing to follow up are ideal candidates.
Not a fit: Patients with open fractures, pathological fractures, prior wrist fractures or surgery, associated neurovascular injury, polytrauma, or severe osteoporosis/systemic conditions affecting bone healing are excluded and unlikely to benefit from this comparison.
Why it matters
Potential benefit: If successful, the results could identify which fixation method gives better wrist function and fewer complications, helping surgeons choose the preferred technique for selected fractures.
How similar studies have performed: Prior small studies and case series have reported comparable outcomes for minimally invasive cannulated screw fixation and K-wires in selected extra‑articular fractures, but robust comparative data are limited.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients aged between 18\_60years. * Patients with displaced or unstable Distal Radius Fractures requiring surgical Fixation. * Type A Extra articular Fractures. * Patients fit for surgery and willing to participate in the study. Exclusion Criteria: * open distal Radius Fractures. * Pathological Fractures. * Previous Fractures or surgeries affecting the wrist. * Associated neurovascular injury. * polytrauma patient. * Patients with severe osteoporotic or systemic condition affecting bone healing.
Where this trial is running
Sohag, Naser City
- Sohag university hospital — Sohag, Naser City, Egypt (Recruiting)
Study contacts
- Study coordinator: Ahmed Mahmoud Tammam, Practiciant
- Email: ahmd.tamam2425@gmail.com
- Phone: 01020745267
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.