Randomised controlled trial of splinting methods for rehabilitation of extensor tendon repair
Not Applicable
Completed
- Conditions
- Physical Medicine / Rehabilitation - PhysiotherapyExtensor tendon repair in zones V and VI in the handMusculoskeletal - Other muscular and skeletal disorders
- Registration Number
- ACTRN12615000425594
- Lead Sponsor
- Miranda Buhler
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 38
Inclusion Criteria
*Patients undergoing primary repair of the extensor tendon in zones V and/or VI of one or more digits at Dunedin Hospital.
*Simple division of 50% to 100% of the tendon as determined intra-operatively by the surgeon
*Surgical repair suitable for early mobilisation.
*Able to provide written informed consent.
Exclusion Criteria
*Complex multi-tissue injury e.g. unstable fracture; significant skin loss; concurrent flexor tendon repair; replantation or revascularisation.
*Extensor tendon repair to more than three digits
*Extensor tendon repair to the thumb
*Age under 16 years
*Co-existing rheumatologic illness
*Individual factors such as inability to adhere to the intervention or significant co-morbidity.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method The primary outcome measure is digital range of motion as measured using a metal finger goniometer and calculating total active motion (TAM) ([active flexion of MCP + PIP + DIP] – [extension lag of MCP + PIP + DIP]) (Kleinert 1983)[6 and 12 weeks post surgery ]
- Secondary Outcome Measures
Name Time Method Patient-reported function (Quick Disabilities of the Arm, Shoulder and Hand, QuickDASH) [6 and 12 weeks post surgery];Grip strength (JAMAR dynamometer) [12 weeks post surgery];Return to ordinary or modified work (paid or un-paid) (participant return to work questionnaire)[6 and 12 weeks post surgery];Patient-reported satisfaction (Satisfaction with Splinting, Treatment and Outcome questionnaire)[6 and 12 weeks];Patient adherence (Adherence to Splinting questionnaire) (modified from Sandford et al. 2008) [6 weeks post surgery];Complications and further surgery (as recorded in medical records and reported by participant)[12 weeks post surgery];Self-reported direct costs (Participant Questionnaire) (modified from Van den Brink 2005) [6 and 12 weeks post surgery];Direct costs - Hospital medical records (Data collection sheet)[12 weeks post surgery];Patient-reported health status (EuroQuol-5D-3L, EQ-5D-3L) (The EuroQol Group 1990) index value [6 and 12 weeks post surgery]