Investigating the efficacy of two exercise protocols following fracture and open surgical fixation of the proximal phalangeal bone in the finger.
- Conditions
- Open reduction and internal fixation (ORIF) following finger proximal phalanx fracture.Injuries and Accidents - Fractures
- Registration Number
- ACTRN12610000294055
- Lead Sponsor
- A/Prof Jack Crosbie
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 66
All adults (age range: 18- 65 years of age) with finger proximal phalangeal fractures that were stabilised via open reduction internal fixation (with plate and screw fixation or screw fixation alone) at Sydney Hospital Hand Unit are candidates for inclusion in the study. Participants must also have a willingness to give written informed consent and willingness to participate in and comply with the study.
(1) there was a delay between fracture and surgical fixation greater than two weeks,
(2) the surgical procedure did not achieve stability,
(3) there is the presence of co- morbidities including diabetes and active arthropathy,
(4) there is concomitant tendon or nerve injury, other fracture or vascular injury,
(5) there are cognition problems or poor pain awareness,
(6) there is an inability to attend regular hand therapy follow- up appointments.
(7) patients with a history of a psychological illness or condition such as to interfere with the patient's ability to understand the requirements of the study.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Total active range of motion of the injured finger measured using a finger goniometer.[Enrolment visit; 6 weeks; and 12 weeks];Grip strength measured using the hand held Jamar Dynamometer.[6 weeks; and 12 weeks after surgery];Active extension at the proximal interphalangeal (PIP) joint of the injured finger measured using a finger goniometer.[Enrolment visit; 6 weeks; and 12 weeks after surgery]
- Secondary Outcome Measures
Name Time Method Activity limitation and participation levels will be measured via the Patient Rated Wrist and Hand Evaluation (PRWHE) questionnaire.[12 weeks after surgery]