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Surgical Versus Conservative Treatment of Acute Mallet Fingers; a Randomised Controlled Trial

Not Applicable
Withdrawn
Conditions
Finger Injury
Interventions
Procedure: Mallet splint for 4 weeks
Procedure: extensor tendon repair
Registration Number
NCT01016197
Lead Sponsor
Mid Cheshire Hospitals NHS Foundation Trust
Brief Summary

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.

Detailed Description

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.

Recruitment & Eligibility

Status
WITHDRAWN
Sex
All
Target Recruitment
Not specified
Inclusion Criteria
  • soft tissue mallet finger
  • acute injury
Exclusion Criteria
  • ASA 3 or above
  • Unable to give informed consent
  • Infection in digit affected

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
ConservativeMallet splint for 4 weeksFour weeks of splinting followed by mobilisation.
Surgeryextensor tendon repairSurgical repair of the tendon with a bone anchor followed by four weeks of splinting and then mobilisation.
Primary Outcome Measures
NameTimeMethod
DASH scoreup to 18 months
Secondary Outcome Measures
NameTimeMethod
Range of movement at distal interphalyngeal joint.3, 6, 12 and 18 months

Trial Locations

Locations (1)

Mid Cheshire NHS Trust

🇬🇧

Crewe, United Kingdom

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