Elastic nailing with Kirschner wires versus plate fixation for distal tibial fractures in adolescents

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This prospective randomized study compares two surgical methods for distal tibial metaphyseal-diaphyseal junction fractures in adolescents. Participants are assigned 1:1 to receive either elastic stable intramedullary nailing with Kirschner wires or plate fixation. Outcomes include fracture healing, alignment, time to full weight-bearing, functional scores, and complications, with follow-ups at 2 weeks, 6 weeks, 3 months, and 6 months. The study aims to determine which approach provides reliable fixation with favorable recovery and fewer complications. It is conducted at Sohag University Hospital, enrolling eligible adolescents with displaced or unstable DTDMJ fractures requiring surgical fixation.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Age 10-16 years.
* Patients diagnosed with distal tibial metaphyseal-diaphyseal junction (DTDMJ) fractures.
* Closed fractures or Gustilo-Anderson type I open fractures.
* Acute fractures presenting within two weeks of injury.
* Displaced or unstable fractures requiring surgical fixation.
* Open or partially open physis, as assessed on preoperative radiographs.

Exclusion Criteria:

* Patients younger than 10 years or older than 16 years.
* Fractures involving the distal tibial physis (Salter-Harris fractures).
* Intra-articular distal tibial fractures.
* Gustilo-Anderson type II and III open fractures.
* Pathological fractures.
* Fractures associated with metabolic bone disease or congenital skeletal disorders.
* Polytrauma patients requiring alternative treatment priorities.
* Previous fracture, deformity, or surgical intervention involving the affected tibia.
* Neurovascular injury requiring repair.

Where it's running

• Sohag University Hospital
  Sohag, Sohag Governorate, Egypt Recruiting

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.