跳至主要内容
临床试验/NCT04579809
NCT04579809Unknown不适用

Results of Flexor Tendon Repair of the Hand in Children Below Six Yera Sof Age

Assiut University0 个研究点目标入组 30 人开始时间: 2020年12月25日最近更新:
适应症

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

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

申办方类型
Other
责任方
Principal Investigator
主要研究者

Andrew Hossny fawzy nakhla

principal investigator

Assiut University

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