Results of Flexor Tendon Repair of the Hand in Children Below Six Yera Sof Age
试验速览
- 阶段
- 不适用
- 入组人数
- 30
- 主要终点
- range of motion of flexor tendon after repair according total active motion criteria
研究概览
简要总结
The incidence of flexor tendon injuries in pediatric patients has remained largely undocumented, with a frequency of 3.6 per 100 000 persons per year.The pediatric literature demonstrates a higher prevalence of flexor tendon injuries in men, caused by sharp objects (glass or knife)
详细描述
The diagnosis of flexor tendon injuries is more challenging in younger children than in adults . and delayed diagnosis in children is common . An innocuous appearing skin wound and a subtle functional deficit may hinder both presentation and identification of the injury.Pediatric flexor tendon injuries heal rapidly and contractures are rare, as long as the joint has not been injured. but Inadequate management can result in loss of hand function .
Data involving children rehabilitation remain unclear, with some studies showing no difference between early rehabilitation protocols and four weeks of cast immobilization . Some studies claim that protocols are not necessary in children younger than six years of age, and that only immobilization is required and some studies show transition to a more aggressive early motion protocol .
Although the incidince of flexor tendon injury in children is not low but the reported cases below the age of six years remains low Which makes reported results less trustworthy. This created the need for a better designed and larger number study to report results in this age group.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 1 Day 至 6 Years(Child)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Acute flexor tendon injuries of the hand in both genders. All flexor zones are included. Cooperative patients aged between 0-6 years.
排除标准
- •Uncooperative patients such as psychologically disturbed patients , who will not be able to follow the strict of protocol
- •Age more than six years old .
- •Associated fractures close to the tendon injury.
- •Vascular injury requiring revascularization
结局指标
主要结局
range of motion of flexor tendon after repair according total active motion criteria
时间窗: follow up the patients up to one year
above elbow cast fo four weeks
次要结局
未报告次要终点
研究者
Andrew Hossny fawzy nakhla
principal investigator
Assiut University
