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Active, not recruitingNCT07393061Updated Feb 6, 2026

Partial Wrist Denervation in Comminuted Articular Distal Radius Fractures

An interventional study of Partial Wrist Denervation in Comminuted articular Distal Radius Fractures in Parial Denervation and Fracture Disatl Radius, sponsored by Assiut University. Active, not recruiting at 1 site in Egypt. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-02-06.

Sponsored by Assiut University · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
56
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

the aim of Partial Wrist Denervation in Comminuted articular Distal Radius Fractures is to decrease incidence of chronic wrist pain follwing this type of fracture

Read the detailed description

Distal radius fractures represent the most common fractures in adults showing an overall prevalence of 17.5 % with respect to all fractures. partial wrist denervation is an adjunctive procedure performed during initial fracture fixation to mitigate chronic pain by interrupting sensory innervation to the wrist joint. It targets the anterior interosseous nerve (AIN) and posterior interosseous nerve (PIN), which convey nociceptive signals from the radiocarpal and midcarpal joints.

Comminuted intra-articular distal radius fractures (AO/OTA Type C2/C3) often lead to post-traumatic arthritis due to articular incongruity and capsular damage. Denervation at the index procedure may reduce central sensitization and chronic pain by resecting afferent pain fibers, potentially improving postoperative rehabilitation and functional outcomes.

Acute comminuted intra-articular distal radius fractures (AO/OTA C2/C3) with high risk of post-traumatic arthritis (e.g., articular step-off >2 mm, severe fragmentation).

  • Active individuals seeking motion preservation, those with high functional demands (e.g., athletes, laborers), or patients preferring a less invasive option than salvage procedures.
  • Adjunct to primary fixation: Performed concurrently with volar locking plate (VLP) or dorsal plating.
02

Conditions studied

  • Parial Denervation
  • Fracture Disatl Radius

Keywords

  • parital denervation
  • comminuted distal radius fractures
  • chronic wrist pain
03

In context

Lead sponsor

Assiut University is the lead sponsor of 4,901 studies on the registry; 2,098 are open to participants now.

Of its 13 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria:• Age from 18

  • Fracture Pattern: Acute, comminuted intra-articular distal radius fractures (AO/OTA Type C2 or C3).
  • Surgical Context: Procedure performed as a primary adjunct during initial open reduction and internal fixation (ORIF).

Exclusion Criteria:Active local infection over the surgical site.

  • Compromised soft tissue envelope that precludes safe dissection.
  • Vascular injury or compromise requiring repair.
  • Pre-existing neurological deficit (e.g., complex regional pain syndrome, major peripheral nerve injury).
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
56 participants (actual)

Study arms

  • Other
    parital wrist denervation

    Partial Wrist Denervation in Comminuted articular Distal Radius Fractures

    Procedure: Partial Wrist Denervation in Comminuted articular Distal Radius Fractures

Interventions

  • ProcedurePartial Wrist Denervation in Comminuted articular Distal Radius Fractures

    Partial Wrist Denervation in Comminuted articular Distal Radius Fractures through sme approach of the surgery

06

What researchers measure

Primary outcomes

  1. The end results PAIN will be assessed according to mayo clinc wrist score

    mayo clinc wrist score its a clincal reported outcome measure designed to assess function and pain of the wrist follwing surgery the score is bassed on 100 points divided into four equally weighted categories the final score places the wrist into outcome category total score 90/100 is excellent while below 65 is poor

    Time frame: 2 weeks, 6 weeks, 3 months, 6 months..and 1 year

07

Study locations

1 site
  • Assiut Universty
    Asyut, 22222, Egypt
08

References and documents

Related links

Individual participant data

Plan to share: Undecided — will wait till we see the result

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 6, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07393061
Lead sponsor
Assiut University
Responsible party
Momen Moustafa (professor, Assiut University) — Principal investigator
First posted
Feb 6, 2026
Start date
Jan 1, 2026
Primary completion
Jan 1, 2027 (estimated)
Completion
Jan 1, 2027 (estimated)
Last update
Feb 6, 2026

Study contacts

walyd ryad saleh, professor of orthopedics
study director · Assiut University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Jan 2026. You cannot join it, but the record below documents what was studied.

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