IM Screw vs. K-wire Fixation of Proximal/Middle Phalanx Fractures
Recruiting now · Not applicable
Conditions studied: Hand; Fracture, Phalanx
In brief
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.
Key facts
- Study ID
- NCT06372067
- Run by
- McMaster University
- People needed
- 34
- Starts
- 2025-04-01
- Expected to finish
- 2026-03-01
- Last updated by the study team
- 2025-07-22
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- adult patients ≥18 years old
- scheduled for operative management of extraarticular proximal or middle closed phalanx fracture(s) at the investigators' tertiary hospital
- feasible to perform closed reduction
- able to provide informed consent and complete health-related quality of life (HRQoL) questionnaires in English
You may not qualify if…
- other fractures that cannot be managed with IM screws or K-wires
- other intraarticular fractures
- significant concomitant hand trauma
- cannot commit to 3 months of follow up at the investigators' institution
Where it is running
- St. Joseph's Healthcare — Hamilton, Ontario, Canada (enrolling)
Full record on ClinicalTrials.gov
Trial information comes from ClinicalTrials.gov and is refreshed daily. TrialsForMe does not provide medical care and does not run the studies it lists.