Surgical Versus Conservative Treatment of Acute Mallet Fingers; a Randomised Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 试验地点
- 1
- 主要终点
- DASH score
研究概览
简要总结
The investigators are investigating if surgical treatment of injuries to the tendon which straightens the finger tip gives a better functional outcome than treatment with a splint while the tendon heals.
详细描述
The investigators will randomise patients to receive splinting of their finger while their tendon heals or have surgical intervention. Surgical intervention will entail fixing the tendon with bone anchors and splinting. Conservative treament involves splinting while the tendon heals. We will then monitor the functional outcome of the hand using the DASH questionare over 18 months.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 16 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •soft tissue mallet finger
- •acute injury
排除标准
- •ASA 3 or above
- •Unable to give informed consent
- •Infection in digit affected
研究组 & 干预措施
Conservative
Four weeks of splinting followed by mobilisation.
干预措施: Mallet splint for 4 weeks (Procedure)
Surgery
Surgical repair of the tendon with a bone anchor followed by four weeks of splinting and then mobilisation.
干预措施: extensor tendon repair (Procedure)
结局指标
主要结局
DASH score
时间窗: up to 18 months
次要结局
- Range of movement at distal interphalyngeal joint.(3, 6, 12 and 18 months)