Early Active Finger Exercises in Replanted Fingers
Not Applicable
- Conditions
- Amputation
- Interventions
- Other: Active exercises
- Registration Number
- NCT03383640
- Lead Sponsor
- Oslo University Hospital
- Brief Summary
A controlled randomized trial, including patients undergoing finger replantation surgery. The Control Group will receive a standardized post operative rehabilitation regime, whilst the Intervention Group will receive a rehabilitation regime that includes early active exercises of the replanted digits.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 42
Inclusion Criteria
- Age over 18 years
- Total or subtotal amputation injury of 1-4 of the four ulnar digits
- Injury distal to the MCP joint
- Must have injured flexor tendon which requires suture
- Must have a fracture
- Surgery done with a stable osteosynthesis with acceptable post-operative x-ray imaging
- The finger must have had a stable circulation for at least 5 days post-surgery
Exclusion Criteria
- Arthrodesis/temporary fixation of the MCP joint
- Bilateral amputation injury
- Severely damage of other parts if the hand compromising the patient's ability to perform active exercises of the fingers
- Patients who cannot follow the planned controls
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Intervention Active exercises Intervention Group: Early active exercises of the replanted digits started between day 5 and 7 after surgery, as instructed by hand therapist
- Primary Outcome Measures
Name Time Method TAM 12 months Total active movement of the interphalangeal joints
- Secondary Outcome Measures
Name Time Method VAS Function 12 months Visual Analogue Score Function
Quick-DASH 12 months Upper extremity function score (patient related outcome measure)
Key pinch 12 months Jamar dynamometer
Grip strength 12 months Jamar dynanometer
VAS Pain 12 months Visual Analogue Score Pain