Pain After Proximal Digital Amputation Prevention

NCT ID: NCT04378062

Last Updated: 2023-08-30

Study Results

Results pending

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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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

39 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-03-01

Study Completion Date

2023-02-01

Brief Summary

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Finger amputations are common and may be complicated by debilitating nerve pain. This study seeks to determine if nerve pain after digital amputation can be more effectively prevented with either of two new surgical techniques-targeted muscle reinnervation (TMR) or regenerative peripheral nerve interfaces (RPNI)-compared to standard treatment by traction neurectomy (TN).

Detailed Description

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Patients who require proximal amputations will have the opportunity to enroll in the study, will be randomized intraoperatively to receiving one of the aforementioned treatments, and will be followed at 3 and 6 month for outcome measures.

Conditions

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Pain Amputation Neuroma Amputation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Traction Neurectomy

Traction neurectomy - of digital sensory nerves at the time of amputation.

Group Type ACTIVE_COMPARATOR

Digital nerve procedure

Intervention Type PROCEDURE

The type of procedure performed on the digital nerve at the time of amputation

Targeted Muscle Reinnervation

Targeted Muscle Reinnervation - of digital sensory nerves at the time of amputation

Group Type EXPERIMENTAL

Digital nerve procedure

Intervention Type PROCEDURE

The type of procedure performed on the digital nerve at the time of amputation

Regenerative Peripheral Nerve Interface

Regenerative Peripheral Nerve Interface - of digital sensory nerves at the time of amputation

Group Type EXPERIMENTAL

Digital nerve procedure

Intervention Type PROCEDURE

The type of procedure performed on the digital nerve at the time of amputation

Interventions

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Digital nerve procedure

The type of procedure performed on the digital nerve at the time of amputation

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients requiring single finger amputations at the level of the proximal interphalangeal joint or proximal (i.e., closer to the body than this joint).
* Patients have the capacity to complete the informed consent process

Exclusion Criteria

* Patients less than 18 years of age, prisoner, or other vulnerable population
* Patients with significant concomitant ipsilateral extremity injuries that would confound study
* Patients requiring emergent, staged (guillotine-type) amputations of any kind
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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American Society for Surgery of the Hand

OTHER

Sponsor Role collaborator

Indiana University

OTHER

Sponsor Role lead

Responsible Party

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Joshua Adkinson

Assistant Professor of Surgery

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Joshua Adkinson, MD

Role: PRINCIPAL_INVESTIGATOR

Indiana University

Scott N Loewenstein, MD

Role: PRINCIPAL_INVESTIGATOR

Indiana University

Locations

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Eskenazi Hospital

Indianapolis, Indiana, United States

Site Status

Countries

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United States

Other Identifiers

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1907889836

Identifier Type: -

Identifier Source: org_study_id

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