Non-Contact Low-Frequency Ultrasound Vs Standard LaLonde Protocol for Fingertip Injury Wound Healing
Enhancing Healing With Non-Contact Low-Frequency Ultrasound in Fingertip Amputation Treatment: A Prospective Comparative Cohort Study
St. Luke's Hospital, Pennsylvania
22 participants
Feb 10, 2025
INTERVENTIONAL
Conditions
Summary
The goal of this clinical trial is to compare the efficacy of non-contact low frequency ultrasound in populations sustaining fingertip amputations. The main question it aims to answer is: • Does non-contact low frequency ultrasound significantly improve patient outcomes in patients sustaining acute fingertip amputations? Researchers will compare non-contact low frequency ultrasound to a standard Lalonde protocol to answer this questions. Participants will be randomized one of the two study arms and evaluated by wound care therapy. They will receive cohort appropriate therapy sessions 2-3 times per week with measurement of wound size once per week.
Eligibility
Inclusion Criteria1
- Individuals aged 18 years or older with an acute traumatic fingertip amputation without exposed bone or tendons (Allen 1, Tamai level 1; ICD-10 codes S68.5 and S68.6).
Exclusion Criteria7
- Patients less than 18 years old,
- Injuries involving exposed bone
- Those with diagnosis of vascular disease
- Individuals with clinical suspicion or diagnosis of infection
- Unable to comply with prescribed therapy sessions
- Patients undergoing primary closure or surgical intervention
- Patients experiencing subsequent trauma following treatment initiation
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Interventions
NCLF-US therapy involves delivering low-frequency (40 kHz), low-intensity (0.1-0.8 W/cm2) ultrasound energy via sterile water mist.
Standard of care local wound therapy using the Lalonde protocol - rinsing the site with clean water, applying a grease layer, wrapping with a one-inch gauze wrap, and securing with Coban tape.
Locations(1)
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NCT06813430