- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03155854
The Effects of Prophylactic Limited Palmar Fasciectomy on Surgical Outcomes and Scarring
The Effects of Prophylactic Limited Palmar Fasciectomy on Surgical Outcomes and Scarring for Dupuytren's Contracture Patients With Pretendinous Cord - Prospective Randomized Clinical Study (Pilot)
Research is instrumental for improving medical care and the patient experience. Finding new surgical techniques can create better outcomes and minimize recovery time and complications for patients. Some patients undergoing trigger finger surgery with a pre-existing Dupuytren's cord may develop a thickened surgical scar after surgery, which can cause discomfort, difficulty with moving or using, and other complications in the affected finger(s) or hand. The investigator is investigating a surgical technique to minimize these potential complications and scarring after surgery.
Subjects are being asked to take part in this research study because they have been diagnosed with trigger finger and pretendinous Dupuytren's cord and have decided to undergo surgery rather than try medical treatment.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Sanjeev Kakar, MD
- Email: Kakar.Sanjeev@mayo.edu
Study Locations
-
-
Minnesota
-
Rochester, Minnesota, United States, 55905
- Recruiting
- Mayo Clinic
-
Contact:
- Michelle Hwang
-
Principal Investigator:
- Sanjeev Kakar, M.D.
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Potential candidates for the study will be selected based upon clinical diagnosis of trigger finger with co-existing pretendinous cord. All potential subjects will have either failed non operative treatment or elected surgical treatment.
Exclusion Criteria:
- <18 years of age
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Pretendinous cord excision
Patients will undergo either a targeted palmar fasciectomy procedure in which the involved Dupuytren's fascia will be excised
|
The cord/palmar fascia will be excised during surgery.
|
Active Comparator: Division/manipulation of the cord
patients will undergo either a targeted palmar fasciectomy procedure in which the involved Dupuytren's fascia will be incised.
|
The pretendinous cord will be divided and incised during surgery.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Scar Progression as measured by the Vancouver Scar Scale
Time Frame: baseline, up to 1 year
|
The Vancouver Scar Scale assesses 4 variables: vascularity, height/thickness, pliability, and pigmentation.
Patient perception of his or her respective scars is not factored in to the overall score.
The scores can range from 0 (normal) to 13 (severe scarring).
|
baseline, up to 1 year
|
Change in Scar Progression as measured by the Patient and Observer Scar Assessment Scale
Time Frame: baseline, up to 1 year
|
The Patient and Observer Scar Assessment Scale consists of two parts: a Patient Scale and an Observer Scale.
Both scales contain seven items that are scored numerically on a 10-step scale.
Together they make up the 'Total Score' of the Patient and Observer Scale.
The total score can range from 14 (normal) to 140 (worst scar imaginable).
|
baseline, up to 1 year
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Sanjeev Kakar, MD, Mayo Clinic
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 15-008280
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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