Surgical Versus Conservative Treatment of Acute Mallet Fingers; a Randomised Controlled Trial
- Conditions
- Finger Injury
- Interventions
- Procedure: Mallet splint for 4 weeksProcedure: 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- WITHDRAWN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
- soft tissue mallet finger
- acute injury
- ASA 3 or above
- Unable to give informed consent
- Infection in digit affected
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Conservative Mallet splint for 4 weeks Four weeks of splinting followed by mobilisation. Surgery extensor tendon repair Surgical repair of the tendon with a bone anchor followed by four weeks of splinting and then mobilisation.
- Primary Outcome Measures
Name Time Method DASH score up to 18 months
- Secondary Outcome Measures
Name Time Method Range of movement at distal interphalyngeal joint. 3, 6, 12 and 18 months
Trial Locations
- Locations (1)
Mid Cheshire NHS Trust
🇬🇧Crewe, United Kingdom