K-wire fixation with direct moBilization versus Open Reposition anD intErnal fixation with direct mobilizAtion in Unstable proXimal phalangeal shaft fractures.

-0 个研究点目标入组 106 人开始时间: 待定最近更新: 2024年6月11日

适应症

试验速览

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•Patients =18 years
•-Single proximal phalangeal shaft fracture
•-Unstable shaft fractures and fractures with a symptomatic rotational or angular deformity requiring operative treatment.

•- Stable proximal phalangeal shaft fracture requiring conservative treatment
•- Proximal phalangeal shaft fracture of the thumb.
•- Open fractures
•- Multiple proximal phalangeal fractures
•- Patients with impaired hand function prior to injury due to arthrosis/neurological disorders of the upper limb
•- Multiple trauma patients (Injury Severity Score (ISS) =16)
•- Other injuries in the ipsilateral extremity
•- Insufficient comprehension of the Dutch language to understand a rehabilitation program and other treatment information as judged by the attending physician
•- Patient suffering from disorders of bone metabolism other than osteoporosis (i.e. Paget’s disease, renal osteodystrophy, osteomalacia)
•- Patients suffering from connective tissue disease or (joint) hyper-flexibility disorders such as Marfan’s, Ehler Danlos or other related disorders.

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