Ishiguro Extension Block Technique Versus Splinting in the Treatment of Mallet Finger Fracture. A Randomized Controlled Trial.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 32
- 试验地点
- 2
- 主要终点
- Extension Deficit in the Affected Distal Interphalangeal Joint.
研究概览
简要总结
Mallet finger is an avulsion of the extensor tendon at its insertion on the base of the distal phalanx, with or without fracture.
Treatment af mallet finger fractures involving more than 1/3 of the articulating surface is controversial. There are to our knowledge no randomized controlled trials comparing splinting and surgical treatment with extension block technique.
The aim of this study is to compare splinting and surgical extension block fixation of mallet finger fractures in a randomized controlled trial.Our hypothesis is that conservative treatment with splinting is comparable to surgical treatment concerning functional outcome, and may even reduce the complication rates.
The original protocol was designed to include participants with non-subluxated and subluxated mallet finger fractures. However this study only included participants with non-subluxated fingers.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age >18 years
- •Mallet finger fractures with a >1mm displaced fragment involving one-third or more of the articular surface and/ or subluxation of the distal phalanges.
- •Fractures with a delay of < 2 weeks.
- •With reference to Wehbé and Schneider's established classification, fractures type IB and IC are included.
排除标准
- •Open injuries
- •Mallet finger fracture of the thumb
- •Co-existing rheumatologic illness in the fingers
- •No-compliance patient
结局指标
主要结局
Extension Deficit in the Affected Distal Interphalangeal Joint.
时间窗: 6 month
Extension deficit measured in degrees, using goniometer. (The lacking extension from at straight stretched finger = degrees of extension deficit)
次要结局
- Pain(6 month)
- Bump(6 month)
- Complications(6 month)
- DASH(6 month)
- Flexion of the Distal Interphalangeal Joint.(6 months)