Deep Fascial Graft Versus Acellular Dermal Matrix Conduit on Repaired Hand's Flexor Tendon: A Comparative Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Number of participant with treatment related limitation of Movement
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 16 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •recent hand cut tendon
排除标准
- •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.
研究组 & 干预措施
Control Group
Modefied kestler tendon repair
干预措施: Modified Kestler tendon repair (Procedure)
Pelnac Group
Modified kestler tendon repair wrapped by Pelnac
干预措施: ADM (Pelnac) wrapping of repaired tendon (Procedure)
Fascia Group
modefied kestler tendon repair wrapped by fascial graft
干预措施: Fascial wrapping the site of tendon repair (Procedure)
结局指标
主要结局
Number of participant with treatment related limitation of Movement
时间窗: 6 months postoperative
Buck-Gramcko II criteria
Number of participant who have fibrous adhesions in Ultra sonography
时间窗: 6 months poostoperative
muscloskeletal ultrasonography
次要结局
未报告次要终点
研究者
Osama Hassan Elbanna
lecturer of plastic surgery
Aswan University