Actively Recruiting
IM Screw vs. K-wire Fixation of Proximal/Middle Phalanx Fractures
Led by McMaster University · Updated on 2025-07-22
34
Participants Needed
1
Research Sites
47 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
When people break their fingers, sometimes surgery is needed to align the bones to heal them properly. There are different ways to fix broken bones in hands, such as plates, pins, or screws. Each method has pros and cons; fixing a broken bone with plates is usually a larger surgery with more cutting but holds the bones very securely. Pins require little to no cutting but the patient needs to immobilize their hand for a few weeks afterwards. Screws are a newer method of fixing broken fingers that requires little cutting and also holds the bones securely. The goal of this study is to compare the effectiveness of using pins versus screws in surgery for broken fingers. The investigators are studying whether using screws leads to better hand function, patient satisfaction, and quicker return to work.
CONDITIONS
Official Title
IM Screw vs. K-wire Fixation of Proximal/Middle Phalanx Fractures
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Adult patients 18 years or older
- Scheduled for surgery for extraarticular proximal or middle closed phalanx fracture(s) at the investigators' tertiary hospital
- Fracture can be managed with closed reduction
- Able to provide informed consent and complete health-related quality of life questionnaires in English
You will not qualify if you...
- Fractures that cannot be managed with intramedullary screws or Kirschner wires
- Intraarticular fractures
- Significant additional hand injuries
- Unable to commit to 3 months of follow-up at the investigators' institution
AI-Screening
AI-Powered Screening
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Trial Site Locations
Total: 1 location
1
St. Joseph's Healthcare
Hamilton, Ontario, Canada, l6l5n4
Actively Recruiting
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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