Deep Fascial Graft Versus Acellular Dermal Matrix Conduit on Repaired Hand's Flexor Tendon: A Comparative Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Aswan University
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- Number of participant with treatment related limitation of Movement
Study Overview
Brief Summary
The investigators aim to evaluate the efficacy & applicability of using deep fascial grafts and acellular dermal matrix conduits in reducing post flexor tendon repair adhesions and improving the clinical outcome.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- None
Eligibility Criteria
- Ages
- 16 Years to — (Child, Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •recent hand cut tendon
Exclusion Criteria
- •All patients less than 16 years old.
- •Zone 1 , 3 , 4 and zone 5 flexor tendon injuries.
- •Patients with flexor pollicis longus tendon injury.
- •Severely lacerated or crushed tendons.
- •Tendon defects.
- •Multiple level tendon injuries.
- •Associated injuries to muscles.
- •Associated hand or forearm fractures.
- •Patients with poor general condition.
- •Patients with limited passive hand movements.
- •Soft tissues defects overlying the repaired tendons.
Arms & Interventions
Control Group
Modefied kestler tendon repair
Intervention: Modified Kestler tendon repair (Procedure)
Pelnac Group
Modified kestler tendon repair wrapped by Pelnac
Intervention: ADM (Pelnac) wrapping of repaired tendon (Procedure)
Fascia Group
modefied kestler tendon repair wrapped by fascial graft
Intervention: Fascial wrapping the site of tendon repair (Procedure)
Outcomes
Primary Outcomes
Number of participant with treatment related limitation of Movement
Time Frame: 6 months postoperative
Buck-Gramcko II criteria
Number of participant who have fibrous adhesions in Ultra sonography
Time Frame: 6 months poostoperative
muscloskeletal ultrasonography
Secondary Outcomes
No secondary outcomes reported
Investigators
Osama Hassan Elbanna
lecturer of plastic surgery
Aswan University