Ignite Creation Date:
2024-05-06 @ 8:09 PM
Last Modification Date:
2024-10-26 @ 3:21 PM
Study NCT ID:
NCT06276062
Status:
RECRUITING
Last Update Posted:
2024-02-28
First Post:
2024-02-18
Brief Title:
Uses of Titanium Nail in Pediatric Fractures
Sponsor:
Sohag University
Organization:
Sohag University
Study Overview
Official Title:
Short Term Functional and Radiological Outcomes of Using Double Short Titanium Elastic Nails in Treatment of Pediatric Distal Radius Fractures
Status:
RECRUITING
Status Verified Date:
2024-02
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The aim of this study is to investigate the short term functional and radiological outcomes of using double short titanium elastic nails as treatment of pediatric distal radius fractures
Detailed Description:
Severely displaced distal radial fractures in children are generally considered unstable especially when associated with total rupture of the periosteum Although the remodeling potential of distal radial fractures is very good in childhood a subgroup of severely displaced and unstable distal pediatric forearm fractures are candidates for operative fixation because acceptable reduction cannot be maintained in a conservative way These injuries are usually candidates for closed reduction and minimal invasive fixation
Operative osteosynthesis technique of pediatric wrist fractures are optimally minimally invasive physeal sparing and with acceptable reduction
Most operative methods need complementary 4 to 6 weeks of postoperative immobilization by casting Many of these techniques do not respect physeal plates Both current available fixation techniques modifications of Kirschner wiring or conventional elastic stable intramedullary nailing ESIN have the same rate of mild complications Growth disturbance is a rare but represents a very rare severe complication of transepiphyseal wire placement
Varga et al Medicine 2017 96148 used modified ESIN method for operative treatment of severely displaced pediatric distal metaphyseal or metadiaphyseal radial fractures With 2 short prebent retrograde elastic titanium nails inserted proximal to the distal radial physis a very stable stabilization achieved without the need for a prolonged period of cast immobilization The nails do not cross the physeal plates so the possibility of postoperative physeal arrest is reduced
their resultsthe study shows a new technique in fixation of severely displaced pediatric distal radial fractures é more stable fixationless pin track irritations and infectionsearly return to full range of motion within the sixth postoperative week short removable splint was sufficient for early pain-free mobilization
All the x-rays made 6 months postoperatively showed anatomic reduction and there has been no sign of omic reduction and there has been no sign of growth disturbance at the area of thece at the area of the distal radius We conduct this study to evaluate the Short term functional and radiological outcomes of using double short titanium elastic nails in treatment of pediatric distal radius fractures
Operative osteosynthesis technique of pediatric wrist fractures are optimally minimally invasive physeal sparing and with acceptable reduction
Most operative methods need complementary 4 to 6 weeks of postoperative immobilization by casting Many of these techniques do not respect physeal plates Both current available fixation techniques modifications of Kirschner wiring or conventional elastic stable intramedullary nailing ESIN have the same rate of mild complications Growth disturbance is a rare but represents a very rare severe complication of transepiphyseal wire placement
Varga et al Medicine 2017 96148 used modified ESIN method for operative treatment of severely displaced pediatric distal metaphyseal or metadiaphyseal radial fractures With 2 short prebent retrograde elastic titanium nails inserted proximal to the distal radial physis a very stable stabilization achieved without the need for a prolonged period of cast immobilization The nails do not cross the physeal plates so the possibility of postoperative physeal arrest is reduced
their resultsthe study shows a new technique in fixation of severely displaced pediatric distal radial fractures é more stable fixationless pin track irritations and infectionsearly return to full range of motion within the sixth postoperative week short removable splint was sufficient for early pain-free mobilization
All the x-rays made 6 months postoperatively showed anatomic reduction and there has been no sign of omic reduction and there has been no sign of growth disturbance at the area of thece at the area of the distal radius We conduct this study to evaluate the Short term functional and radiological outcomes of using double short titanium elastic nails in treatment of pediatric distal radius fractures
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None