Lipofilling Versus Conservative Treatment in Fingertips Injuries Sequelae (LIPOFILLING)
Randomized Prospective Study Evaluating the Benefit of the Treatment of the Distal Amputation Sequelae of the Fingers by Lipofilling - LIPOFILLING Study
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Anne PERRUISSEAU-CARRIER, Dr
- Phone Number: 02.08.34.25.11
- Email: anne.perruisseaucarrier@chu-brest.fr
Study Locations
-
-
-
Brest, France, 29200
- CHRU de Brest
-
Quimper, France, 29107
- CH de Cornouaille - Quimper
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Major patient (18 years old) and ≤ 75 years old
- Patient with unidigital trauma downstream of distal interphalangeal joint
- Treated by directed healing OR covered by a flap
- Presenting troublesome pulpal dysesthesia evolving for more than 6 months AND less than 24 months
- The discomfort must be objectified by a DN4 score greater than or equal to 4/10 (neuropathic pain)
- Patient does not have any allergy to the substances used, in particular anesthetic: xylocaine, adrenaline
Exclusion Criteria:
- Patient with cutaneous sepsis, or amputation upstream of distal interphalangeal, or reimplantation, or dysesthesia that has been in progress for more than 24 months, or multi-digital traumatism
- Refusal of the patient to integrate the protocol Or incapacity to consent
- Pregnant or breastfeeding woman
- Tumor history of the amputated finger
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Other: lipofilling group
Patient will conduct a total of 4 visits: D15, M1, M3, M6 during which they will have: a clinical examination as well as the following evaluations:
Patients in the lipofilling group will also have:
|
The patient is placed under loco-regional anesthesia.
After sterilization of the upper limb and abdomen, the fat is removed at a fold by micro-incision by the Coleman method.
The fat is decanted and micro-reinjected into the pulp of the patient's finger with 2 or 3 punctiform incisions.
The quantity of fat injected is 2 to 3 mL.
Incision of the abdomen and fingers is closed by points at monocryl 4/0.
Finally, a fatty dressing is performed on the finger.
Patients will benefit from nursing care every 2 days
|
|
Other: desensitization group
Patient will conduct a total of 4 visits: D15, M1, M3, M6 during which they will have: a clinical examination as well as the following evaluations:
|
Patients will have to stimulate the pulp of your finger on a daily basis
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Decrease of the EVA between D0 and M6
Time Frame: Day 0, Month 6
|
visual analogue scale from 0 to 10, knowing that 0 is the absence of discomfort and intolerable discomfort
|
Day 0, Month 6
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Subjective self-assessment of the overall functional ability of both upper limbs
Time Frame: Day 0, Day 15, Month1, Month3, Month6
|
DASH questionnaire (Disability of Arm-Shoulder-Hand)
|
Day 0, Day 15, Month1, Month3, Month6
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Neuropathic pain
Time Frame: Day 0, Day 15, Month 1, Month 3, Month 6
|
DN4 score (questionnaire) : a score greater than or equal to 4 makes the diagnosis of neuropathic pain.
|
Day 0, Day 15, Month 1, Month 3, Month 6
|
|
Patient satisfaction on the esthetic aspect of the finger
Time Frame: Month 6
|
Subjective satisfaction to the patient's appreciation.
|
Month 6
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 29BRC19.0081
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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