Will Early Active Finger Exercises in Replanted Fingers Improve Mobility? A Prospective Randomized Trial
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 42
- 主要终点
- TAM
研究概览
简要总结
A controlled randomized trial, including patients undergoing finger replantation surgery. The Control Group will receive a standardized post operative rehabilitation regime, whilst the Intervention Group will receive a rehabilitation regime that includes early active exercises of the replanted digits.
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
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Age over 18 years
- •Total or subtotal amputation injury of 1-4 of the four ulnar digits
- •Injury distal to the MCP joint
- •Must have injured flexor tendon which requires suture
- •Must have a fracture
- •Surgery done with a stable osteosynthesis with acceptable post-operative x-ray imaging
- •The finger must have had a stable circulation for at least 5 days post-surgery
排除标准
- •Arthrodesis/temporary fixation of the MCP joint
- •Bilateral amputation injury
- •Severely damage of other parts if the hand compromising the patient's ability to perform active exercises of the fingers
- •Patients who cannot follow the planned controls
研究组 & 干预措施
Control
Control Group: Standardized post operative rehabilitation, where active exercises of the replanted digits is postponed until radiologic healing of the amputated bone.
Intervention
Intervention Group: Early active exercises of the replanted digits started between day 5 and 7 after surgery, as instructed by hand therapist
干预措施: Active exercises (Other)
结局指标
主要结局
TAM
时间窗: 12 months
Total active movement of the interphalangeal joints
次要结局
- VAS Function(12 months)
- Quick-DASH(12 months)
- Key pinch(12 months)
- Grip strength(12 months)
- VAS Pain(12 months)
研究者
Johanne Korslund
Doctor, orthopaedic surgeon
Oslo University Hospital