RecruitingNot ApplicableNCT04561661

Percutaneous Pinning vs Orthosis and Early Mobilization

A Randomized Comparison Between Percutaneous Pinning and Non-surgical Management of Proximal Phalangeal Fractures

Sponsor

Karolinska Institutet

Enrollment

60 participants

Start Date

Mar 3, 2021

Study Type

INTERVENTIONAL

Summary

This study aims at investigating if splinting and early mobilization is a better method, regarding range of motion, for treating fractures of the base phalanx of the fingers compared to surgery with pinning. This will be achieved through a randomised clinical trial comparing the two methods.

Eligibility

Min Age: 18 Years

Inclusion Criteria1

Fractures of the base phalanx of digit 2-5 in the hand.

Exclusion Criteria7

Fracture older than 2 weeks.
More than 25° of sagittal plane and/or 10° lateral angulation after reposition.
Intra-articular step >1mm.
Associated fractures in other bones (i e metacarpals, middle and distal phalanges) and/or tendon and nerve injuries in any finger.
Open fractures.
Patient age <18 years.
Inability to co-operate with the follow-up protocol (i.e. language difficulties, severe psychiatric disorder, cognitive impairment, drug addiction).

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Interventions

PROCEDUREPercutaneous pinning

Closed reduction, percutaneous pinning and plaster

PROCEDUREConservative treatment

Closed reduction, custom made orthosis and early mobilization

Locations(1)

Dept Hand Surgery

Stockholm, Sweden

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NCT04561661