Buddy Taping Compared to Splint Immobilization for Displaced Paediatric Finger Fractures

Not Applicable

Completed

• Conditions: Fracture Finger
• Interventions: Procedure: fracture immobilization after reduction of displaced finger fractures

• Registration Number: NCT04068935
• Lead Sponsor: University Children's Hospital, Zurich

Brief Summary

Fracture immobilization with Buddy taping is not inferior to Splint immobilization for non-displaced extra-articular paediatric finger fractures. However, whether the same applies for reduced finger fractures is unclear.

Detailed Description

Displaced fractures will be reduced in the paediatric ED by Emergency physicians. After fracture reduction, fracture immobilization will either be done with a Splint immobilization or a fingertaping. After 4 and 21 days, clinical and radiographic controls will take place at the Hand surgery outpatient clinic.

Study Timeline

• Study Start: 2019-08-20
• Study First Submitted: 2019-08-23
• Study First Submitted QC: 2019-08-23
• Study First Posted: 2019-08-28
• Primary Completion: 2023-01-16
• Study Completion: 2023-01-16
• Status Verified: 2023-05
• Last Update Submitted: 2023-05-15
• Last Update Posted: 2023-05-16

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

• extraarticular displaced finger fractures of the proximal or middle phalanges

Exclusion Criteria

• fractures of the thumb
• fractures that are open, instable, pathologic or multifragmented
• multiple fractures of the Hand
• phalangeal neck fractures
• presentation later than 5 days after the injury

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Buddy taping	fracture immobilization after reduction of displaced finger fractures	Buddy taping of the fractured finger to ist neighbouring uninjured finger.
splint immobilization	fracture immobilization after reduction of displaced finger fractures	A forearm-based palmar Hand Splint in an intrinsic plus Position, enclosing all fingers without the thumb.

Primary Outcome Measures

Name	Time	Method
secondary fracture displacement	5 and 21 days after fracture reduction	X-ray controls

Secondary Outcome Measures

Name	Time	Method
Patient comfort	5 and 21 days after fracture reduction	visual analog scale (VAS): Smiley scale with a range from 1 to 10, 10 being the highest score possible, indicating that the Patient comfort was very high.
Need for analgesic medication	5 and 21 days after fracture reduction	interview with Patient and parents
total range of Motion	6 month after fracture reduction	measurement

Trial Locations

Locations (1)

University Children's Hospital Zurich; 🇨🇭 Zürich, Switzerland