Proximal Interphalangeal Joint Arthroplasty Using a Graft From the Capitate (PIPPC)

November 24, 2011 updated by: The Second Hospital of Qinhuangdao

The Second Hospital of Qinhuangdao, Qinhuangdao, Hebei, 066600, China

The capitate had a widened distal base. The distal articulation can be used for proximal interphalangeal (PIP) articula reconstruction.

Study Overview

Status

Completed

Intervention / Treatment

Detailed Description

Previous anatomical studies have shown that the capitate had a widened distal base. The distal articulation was mainly with the base of the third metacarpal and partially with the base of the second metacarpal. The articulation was slightly flattened with a convex and concave dorsal articular surface. The contour stimulates our imagination and creativity to use a portion of the articular surface for PIP arthroplasty.

Study Type

Interventional

Enrollment (Actual)

18

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Hebei
      • Qinhuangdao, Hebei, China, 066600
        • The Second Hospital of Qinhuangdao

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 50 years (Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  1. an articular defect at the proximal aspect of the PIP joint;
  2. the defect larger than 5 mm × 5 mm in size based on intraoperative findings.

Exclusion Criteria:

  1. large defects involved double joint surfaces;
  2. the size of the defect less than 5 mm × 5 mm;
  3. mult-digital articular defects that all required osteoarticular grafting;
  4. associate with infection or other diseases that restrict to use the technique.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Capitate bone grafting
18 patients with PIP joint defects were included in the study. There were 13 male and 5 female patients with a mean age of 31 years (range, 18-47 years). The injury occurred in the right hand in 11 patients and on the left hand in 7. The injured PIP joints were in the index finger (n=7), long finger (n=9), and ring finger (n=2).
Capitate bone graft transfer for PIP joint reconstruction

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
range of motion
Time Frame: 37 to 46 months postoperatively
Active range of motion of the hand were measured by a goniometer.
37 to 46 months postoperatively

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
grip strength
Time Frame: 37 to 46 months postoperatively
The grip strength of the thumb to the injured finger was measured using dynamometers
37 to 46 months postoperatively
pinch strength
Time Frame: 37 to 46 months postoperatively
The pinch strength of the thumb to the injured finger was measured using dynamometers
37 to 46 months postoperatively

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Study Chair: Xu Zhang, M.D., The Second Hospital of Qinhuangdao

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

January 1, 2005

Primary Completion (Actual)

August 1, 2011

Study Completion (Actual)

October 1, 2011

Study Registration Dates

First Submitted

November 19, 2011

First Submitted That Met QC Criteria

November 22, 2011

First Posted (Estimate)

November 24, 2011

Study Record Updates

Last Update Posted (Estimate)

November 28, 2011

Last Update Submitted That Met QC Criteria

November 24, 2011

Last Verified

November 1, 2011

More Information

Terms related to this study

Other Study ID Numbers

  • SHQ002

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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