Comparative Study Between Micro Plate Fixation and Blocking k.Wire in Management of Acute Bony Mallet Finger : Randomized Controlled Clinical Trial Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Sohag University
- Enrollment
- 20
- Locations
- 1
- Primary Endpoint
- post operative evalution of management of acute bony mallet finger
Study Overview
Brief Summary
Mallet finger is an avulsion fracture of the distal phalanx or rupture of the extensor terminal band caused by distal interphalangeal (DIP) joint hyperflexion or axial loading. In the treatment of mallet finger fractures, surgical repair is recommended in cases where the fracture involves more than one-third of the distal phalanx joint surface or the distal phalanx becomes volar subluxated
The blocking k.wire and micro plate technique are some of the methods used in the treatment of mallet finger fractures In recent years, the blocking k.wire technique has gained popularity owing to its minimally invasive nature and its ability to achieve satisfactory postoperative results
The main advantages of Micro Plate technique include provision of anatomical reduction and stable fixation, avoiding the risk of fragmentation of the small dorsal fragment, allowing early movement and increasing patient comfort and compliance
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Acute bony mallet finger involves more than one third of the distal phalanx joint surface or the distal phalanx becomes volar sublaxed
Exclusion Criteria
- •1- . crushed distal phalanx
- •soft tissue mallet
- •multiple phalangeal fractures
- •old neglected cases
Outcomes
Primary Outcomes
post operative evalution of management of acute bony mallet finger
Time Frame: 6 months
Clinical evaluation of improvement of pain , deformity , range of motion , incidence of surgical site infection , radiographic union time
Secondary Outcomes
No secondary outcomes reported
Investigators
Mostafa Ahmed Mohamed Elsadik
Resident at orthopedics and trauma surgery department
Sohag University