Comparing transverse pinning and antegrade intramedullary pinning for neck and shaft metatarsal fractures
Official title: Transverse Pinning Versus Antegrade Intramedullary Pinning for Neck and Shaft Metatarsal Fractures
Run by Sohag University · NCT07528092 · Data updated 2026-11-12
This study will test whether transverse pinning or antegrade intramedullary pinning leads to better healing, fewer complications, and improved foot function in adults with displaced neck or shaft metatarsal fractures.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 65 Years |
| Sex | All |
| Enrollment | 40 (estimated) |
| Sponsor | Sohag University Academic / other |
| Locations | 1 site (Sohag) |
| Status | Recruiting |
| Started | February 1, 2026 |
| Main results expected | November 2026 |
| Study ends | February 2027 |
| Registry record updated | April 16, 2026 |
| Trial ID | NCT07528092 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18 or older with displaced neck or shaft metatarsal fractures that cannot be maintained after closed reduction, including open fractures, are appropriate candidates.
✕Probably not a fit
Patients with nondisplaced fractures or those with Lisfranc injuries or other concomitant fractures are excluded and unlikely to benefit from this comparison.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a prospective randomized controlled trial enrolling adults with displaced metatarsal neck or shaft fractures that are unstable after closed reduction. Participants are randomly assigned to receive either transverse pinning or antegrade intramedullary pinning and receive standardized postoperative care. Primary outcomes include clinical healing, functional scores, complication rates, and radiographic alignment and union assessed at scheduled follow-up visits. The trial excludes nondisplaced fractures and fractures combined with Lisfranc or other concomitant injuries.
Why it matters
Potential benefit: If one technique proves superior, patients could have faster recovery, fewer complications or reoperations, and improved long-term foot function.
How similar studies have gone: Both transverse pinning and antegrade intramedullary pinning have shown generally favorable results in prior surgical series, but randomized direct comparisons are limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * ⦁ 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 Exclusion Criteria: * ⦁ Fractures combined with Lisfranc injury. * Other concomitant fractures. * Non displaced fracture
Where it's running
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Sohag University Hospital
Sohag, Egypt Recruiting
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.