Epidemiology of Digital Nerve Injuries in the Stockholm County
NCT ID: NCT05269719
Last Updated: 2022-03-08
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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COMPLETED
1004 participants
OBSERVATIONAL
2021-01-01
2021-06-01
Brief Summary
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Detailed Description
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METHODS
Patients In this cohort study, all patients treated with surgical repair of a digital nerve injury at the Department of Hand Surgery at Södersjukhuset, Stockholm, Sweden were included. Inclusion period was between 2012-01-01 and 2018-12-31. Patients were identified through the Swedish national quality registry for Hand surgery (HAKIR). Inclusion criteria were the diagnostic codes (ICD-10) for a digital nerve injury in the thumb (S64.3) or finger (S64.4) in combination with the surgical code (KKÅ97) Nomesco classification of surgical procedures for nerve repair (ACB29). A total of 1,329 patients were identified. Exclusion criteria were concomitant skeletal injury, amputations, severe soft tissue injuries, or if the injury needed microvascular reconstruction. Patients reciding outside the Stockholm region and children below 18 years of age were also excluded. A total of 1,004 patients were included for the final analysis. The study population was thereafter divided into two groups: patients with an isolated digital nerve injury and patients with a ditial nerve injry with a concomitant tendon injury. All clinical data was collected through search of medical records.
Conditions
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Study Design
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COHORT
CROSS_SECTIONAL
Study Groups
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Digital nerve injury, surgical treatment, isolated injury
Patient over the age of 18 with an isolated injury to a digital nerve.
Suture of digital nerve
The digital nerves were sutured according to the discretion of the treating surgeon and the standard procedure was three epineural sutures 8.0 or 9.0 nylon under loop magnification. Concomitant tendon injuries were also sutured according to the discretion of the treating surgeon, most commonly with two loop sutures (four strand core) and a peritendinous PDS suture.
Digital nerve injury, surgical treatment, concomittant flexor tendon injury
Patient over the age of 18 with an injury to a digital nerve and a concomittant flexor tendon injury.
Suture of digital nerve
The digital nerves were sutured according to the discretion of the treating surgeon and the standard procedure was three epineural sutures 8.0 or 9.0 nylon under loop magnification. Concomitant tendon injuries were also sutured according to the discretion of the treating surgeon, most commonly with two loop sutures (four strand core) and a peritendinous PDS suture.
Interventions
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Suture of digital nerve
The digital nerves were sutured according to the discretion of the treating surgeon and the standard procedure was three epineural sutures 8.0 or 9.0 nylon under loop magnification. Concomitant tendon injuries were also sutured according to the discretion of the treating surgeon, most commonly with two loop sutures (four strand core) and a peritendinous PDS suture.
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* amputations
* severe soft tissue injuries
* injury needed microvascular reconstruction.
* Patients reciding outside the Stockholm region and
* patient age below 18 years of age
18 Years
ALL
No
Sponsors
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Region Stockholm
OTHER_GOV
Karolinska Institutet
OTHER
Responsible Party
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Cecilia Mellstrand Navarro
Principal Investigator
Principal Investigators
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Marianne Arner, Professor
Role: PRINCIPAL_INVESTIGATOR
Karolinska Institutet
Locations
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Karolinska Institutet Södersjukhuset, Department of clinical research and education
Stockholm, , Sweden
Countries
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Other Identifiers
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Digital nerve injury, epi
Identifier Type: -
Identifier Source: org_study_id
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