Treatment of Proximal Interphalangeal Joint Injuries. Clinical Efficiency of Syndactyly Treatment and Digital Compression
NCT ID: NCT02548260
Last Updated: 2018-08-07
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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TERMINATED
NA
33 participants
INTERVENTIONAL
2016-03-31
2017-03-31
Brief Summary
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Detailed Description
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Injuries to the joints of the hand produce edema that is responsible for additional stiffness. Compressive garment may be worn to limit the extent of the edema and help its resorption.
Although PIPJ injuries are frequent, their treatment does not benefit from a consensus. Most studies are retrospective or aimed at a pediatric population. The investigators wish to evaluate the outcome of PIPJ injury after different treatments: either strict immobilization in a rigid splint for three weeks, of relative immobilization in a syndactyly for three weeks.The investigators also wish to study the effect of finger compression on edema resolution and finger motion. Therefore there will be four treatment groups: syndactyly with and without compression, rigid splint with and without compression.
The study will be conducted in the hand surgery unit of a university hospital in a prospective way. The assignment to a particular treatment group will be randomly performed. Patients will be followed for 6 months.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Syndactyly without compression
Relative immobilization with a syndactyly (CE conformity), no compression is worn.
Syndactyly without compression
three week relative immobilization by syndactyly
Syndactyly with compression
Relative immobilization with a syndactyly (CE conformity), compression (CE conformity) is worn over the finger
Syndactyly with compression
three week relative immobilization by syndactyly and compression
Rigid splint without compression
Rigid immobilization with a custom made thermoplastic splint (CE conformity), no compression is worn
Rigid splint without compression
three week rigid immobilization by splint
Rigid splint with compression
Rigid immobilization with a custom made thermoplastic splint (CE conformity), compression (CE conformity) is worn over the finger
Rigid splint with compression
three week rigid immobilization by splint and compression
Interventions
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Syndactyly without compression
three week relative immobilization by syndactyly
Syndactyly with compression
three week relative immobilization by syndactyly and compression
Rigid splint without compression
three week rigid immobilization by splint
Rigid splint with compression
three week rigid immobilization by splint and compression
Eligibility Criteria
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Inclusion Criteria
* less than seven days after injury
* injured joint stability
* fracture of the palmar rim of the intermediate phalanx less than 30% of articular surface
Exclusion Criteria
* fracture of the palmar rim of the intermediate phalanx greater than 30% of articular surface
* injury to the central band of the extensor tendon
* fracture other than palmar rim of the intermediate phalanx less than 30% of articular surface
* non reducible luxation
18 Years
75 Years
ALL
Yes
Sponsors
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Centre Hospitalier Universitaire Vaudois
OTHER
Responsible Party
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Thierry Christen
Staff physician
Locations
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Centre Hospitalier Universitaire Vaudois
Lausanne, Canton of Vaud, Switzerland
Countries
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Other Identifiers
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301/15
Identifier Type: -
Identifier Source: org_study_id
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