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Spanning Bridged Plate in Comminuted Distal Radius Fractures

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ClinicalTrials.gov Identifier: NCT04100317
Recruitment Status : Not yet recruiting
First Posted : September 24, 2019
Last Update Posted : September 24, 2019
Sponsor:
Information provided by (Responsible Party):
Anass Abdeslam kabbour Hanzaz, Assiut University

Brief Summary:
This study To evaluate the result of using spanning bridge plate in comminuted distal radius fractures.

Condition or disease
Distal Radius Fracture

Detailed Description:
Distal radius fractures are the most common long bone fracture and the incidence appears to be increasing worldwide. They have been found to account for approximately 17% of all fracture-related emergency department visits. These types of injuries have a bimodal age distribution. The first peak represents young patients involved in high energy traumas, and the second peak represents elderly patients with lower to moderate energy injuries secondary to osteoporosis.Surgical treatment for distal radius fractures varies, as there are numerous techniques for fixation. The goals of fixation are anatomic reduction and stability, as this has been shown to result in improved chances for functional recovery . The use of volar locking plateshas become the standard for treatment of the majority of distal radius fractures requiring surgery . However, adequate fixation for high energy comminuted fractures with or without metadia-physeal extension remains a major treatment challenge. Severely comminuted articular fractures are technically challenging in terms of obtaining an adequate reduction and achieving stabilization with a standard periarticular volar plating technique. The small fracture fragments are often not able to be stabilized with the screws from the volar plate, and the proximally-oriented tension from the forearm musculature acts to pull on the carpus causing further collapse of the articular surface. As an alternate to the volar plate, these types of injuries have been historically treated with an external fixator with or without Kirschner wires. However, it has been reported that highly comminuted distal radius fractures are associated with a 52%-63% complication rate when treated with external fixation . Therefore, despite poor fixation capabilities withthese fracturetypes,thevolarplate remainsthego-to devicefor most surgeons when faced with comminuted articular distal radial fractures. In these circumstances, the dorsal distraction plate (also called dorsal "bridge" plating technique) can serve as an improved fixation technique by allowing comminuted articular fragments to reduce under ligamentotaxis and provide a buttress for the dorsal cortex of the distal radius. In addition, a long dorsal plate can bridge past metaphyseal comminution, which cannot be so easily addressed with standard volar plating . The bridge plate can also be left in place for an extended period of time without the risk of the aforementioned complications of prolonged external fixation use . Finally, the dorsal distraction plate is technically a much easier operation to perform than volar plating for complex articular fractures. Recently, there has been increased use of dorsal distraction plating for these types of injuries .

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Study Type : Observational
Estimated Enrollment : 20 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Result of Spanning Bridge Plate Fixation for Comminuted Intra Articular Distal Radial Fractures.
Estimated Study Start Date : September 20, 2019
Estimated Primary Completion Date : September 20, 2020
Estimated Study Completion Date : October 20, 2020

Resource links provided by the National Library of Medicine





Primary Outcome Measures :
  1. Wrist range of movement [ Time Frame: Baseline ]
    Degree measurment of wrist Flexion. Extension radial and ulnur deviatin


Secondary Outcome Measures :
  1. Radilogical parameters [ Time Frame: Baseline ]
    By taking new xrays and exactly calculate the distal radius angels and parameters by calculate the exact deviatin

  2. Grip strength [ Time Frame: Baseline ]
    By using grip strength power

  3. Union [ Time Frame: Baseline ]
    Assesment of union condition by Dexa scan



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Ages Eligible for Study:   18 Years to 60 Years   (Adult)
Sexes Eligible for Study:   All
Sampling Method:   Non-Probability Sample
Study Population
Troumatized population with age 18 to 60 years old with comminuted intra articular distal radius fractures.
Criteria

Inclusion Criteria:

  • age 18-60 years old
  • early trouma (within two weeks)

Exclusion Criteria:

  • open fractures
  • concomitant limb injuries
  • old fractures more than two weeks
  • sever osteoporosis and osteopenia.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04100317


Contacts
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Contact: Anass Dr Hanzaz, Master +201026081677 Doctoranass@gmail.com
Contact: Mohamed Dr Morsy, Proffissor +201099021770 Amrelmicro@yahoo.com

Sponsors and Collaborators
Assiut University
Investigators
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Study Director: Amr Pr Elsayed Proffissor

Publications:
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Responsible Party: Anass Abdeslam kabbour Hanzaz, Dr, Assiut University
ClinicalTrials.gov Identifier: NCT04100317    
Other Study ID Numbers: Bpf in distal radius fractures
First Posted: September 24, 2019    Key Record Dates
Last Update Posted: September 24, 2019
Last Verified: September 2019

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Anass Abdeslam kabbour Hanzaz, Assiut University:
Pridge plate
Additional relevant MeSH terms:
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Fractures, Bone
Radius Fractures
Wounds and Injuries
Forearm Injuries
Arm Injuries