Bilaterally Innervated Sensory Dorsal Digital Flaps for Sensory Reconstruction of the Fingers
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 73
- 试验地点
- 1
- 主要终点
- Static 2PD test
研究概览
简要总结
Sensory coverage in the finger continues to be a challenging problem. This study reports sensory reconstruction of the fingers with the bilaterally innervated dorsal digital flaps and compares the results between the dual- and single-innervated flaps.The main evaluated outcomes are static 2-point discrimination and Semmes-Weinstein monofilament scores of the flap, fingertip pain and joint motion.
详细描述
Pain was given subjectively by the patient using the visual analogue scale (VAS). The VAS consists of a 10 cm line that was grouped into mild (0-3 cm), moderate (4-6 cm) and severe (7-10 cm). Tinel's sign was rated as the following: grade 1=none; grade 2=mild, slight tingle; grade 3=moderate, very uncomfortable; and grade 4=severe, patient unable to use hand because of any stimulation of the neuroma.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 15 Years 至 60 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •a soft-tissue defect in the areas where sensory return was considered important ●a defect with exposed bone or tendon in one finger
- •the defect associated with the transected digital nerves in both sides
- •a defect greater than 1.5 cm
- •a patient aged 15 to 60 years
排除标准
- •injuries to the dorsum of the finger or to the course of the vascular pedicle that precluded its use as the donor
- •injuries to the dorsal branches of the digital nerves that precluded its use as donor nerves attached with the flap
- •a defect less than or equal to 1.5 cm
- •patient age < 15 years or > 60 years
结局指标
主要结局
Static 2PD test
时间窗: 18 months to 24 months after surgery
We use a Disk-Criminator to test two nearby points when touching the flap
次要结局
未报告次要终点