- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03228849
Comparison of New Suture Anchor Technique for Bony Mallet Injury Versus Conservative Treatment
July 22, 2017 updated by: Hayati Durmaz, Istanbul University
Conservative Management Equally Effective to New Suture Anchor Technique for Acute Mallet Finger Deformity: A Prospective Randomized Clinical Trial
This study aims to compare conservative treatment versus a new suture anchor technique for bony mallet finger in 29 patients.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
This study aims to compare conservative treatment versus a new suture anchor technique for bony mallet finger in 29 patients who presented to investigators' clinic between 2013 and 2015.
Patients were randomly assigned to conservative or surgical treatment groups.
Patients in the conservative group were followed with immobilization with aluminum splint and physical therapy.
Patients in the surgical group were treated with investigators' new surgical suture anchor technique and then received physical therapy.
The patients were followed for 12 months.
Primary study outcomes were extension deficit, days to return to work and DIP flexion.
Study Type
Interventional
Enrollment (Actual)
29
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
-
-
-
Istanbul, Turkey, 34093
- Istanbul University Faculty of Medicine
-
-
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
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Wehbe Schneider type 1 - 2 and type A - B fractures
- ability to provide closed reduction
- patients' voluntariness
Exclusion Criteria:
- Wehbe Schneider type C and type 3 fractures
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: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Active Comparator: Conservative Treatment
Patients were treated with 6 weeks with splinting and were then started on physical therapy for 2 weeks.
|
The injured finger was immobilized in an aluminium splint for 6 weeks.
Patients were then started on physical therapy for 2 weeks.
|
|
Active Comparator: Surgical Treatment
Patients were treated with the new suture anchor technique and after 6 weeks were started on physical therapy for 2 weeks.
|
Suture anchors were used to attach bony fragment.
On week 6, patients were then started on physical therapy for 2 weeks.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Extension deficit
Time Frame: 12 months
|
The inability to actively extend DIP joint to 0 degrees.
|
12 months
|
|
DIP flexion
Time Frame: 12 months
|
The maximum angle of flexion at DIP joint
|
12 months
|
|
Days to return to work
Time Frame: Starting from the date of the start of treatment until patients returns to work, assessed up to 12 months
|
Time to return to work
|
Starting from the date of the start of treatment until patients returns to work, assessed up to 12 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Sefa Giray Batıbay, MD, Istanbul University
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.
General Publications
- Angermann P, Lohmann M. [Hand and wrist injuries. A study of 50.272 injuries]. Ugeskr Laeger. 1995 Feb 6;157(6):734-7. Danish.
- Salazar Botero S, Hidalgo Diaz JJ, Benaida A, Collon S, Facca S, Liverneaux PA. Review of Acute Traumatic Closed Mallet Finger Injuries in Adults. Arch Plast Surg. 2016 Mar;43(2):134-44. doi: 10.5999/aps.2016.43.2.134. Epub 2016 Mar 18.
- Eddy M. Hands, fingers, thumbs - assessment and management of common hand injuries in general practice. Aust Fam Physician. 2012 Apr;41(4):202-9.
- Alla SR, Deal ND, Dempsey IJ. Current concepts: mallet finger. Hand (N Y). 2014 Jun;9(2):138-44. doi: 10.1007/s11552-014-9609-y.
- Moss JG, Steingold RF. The long term results of mallet finger injury. A retrospective study of one hundred cases. Hand. 1983 Jun;15(2):151-4. doi: 10.1016/s0072-968x(83)80006-0.
- Handoll HH, Vaghela MV. Interventions for treating mallet finger injuries. Cochrane Database Syst Rev. 2004;(3):CD004574. doi: 10.1002/14651858.CD004574.pub2.
- Hamas RS, Horrell ED, Pierret GP. Treatment of mallet finger due to intra-articular fracture of the distal phalanx. J Hand Surg Am. 1978 Jul;3(4):361-3. doi: 10.1016/s0363-5023(78)80038-0.
- Smit JM, Beets MR, Zeebregts CJ, Rood A, Welters CFM. Treatment options for mallet finger: a review. Plast Reconstr Surg. 2010 Nov;126(5):1624-1629. doi: 10.1097/PRS.0b013e3181ef8ec8.
- Toker S, Turkmen F, Pekince O, Korucu I, Karalezli N. Extension Block Pinning Versus Hook Plate Fixation for Treatment of Mallet Fractures. J Hand Surg Am. 2015 Aug;40(8):1591-6. doi: 10.1016/j.jhsa.2015.04.027. Epub 2015 Jun 10.
- Lubahn JD. Mallet finger fractures: a comparison of open and closed technique. J Hand Surg Am. 1989 Mar;14(2 Pt 2):394-6. doi: 10.1016/0363-5023(89)90121-4. No abstract available.
- Auchincloss JM. Mallet-finger injuries: a prospective, controlled trial of internal and external splintage. Hand. 1982 Jun;14(2):168-73. doi: 10.1016/s0072-968x(82)80011-9. No abstract available.
- Garberman SF, Diao E, Peimer CA. Mallet finger: results of early versus delayed closed treatment. J Hand Surg Am. 1994 Sep;19(5):850-2. doi: 10.1016/0363-5023(94)90200-3.
- Jones NF, Peterson J. Epidemiologic study of the mallet finger deformity. J Hand Surg Am. 1988 May;13(3):334-8. doi: 10.1016/s0363-5023(88)80003-0.
- Nakamura K, Nanjyo B. Reassessment of surgery for mallet finger. Plast Reconstr Surg. 1994 Jan;93(1):141-9; discussion 150-1.
- Panchal-Kildare S, Malone K. Skeletal anatomy of the hand. Hand Clin. 2013 Nov;29(4):459-71. doi: 10.1016/j.hcl.2013.08.001.
- Valdes K, Naughton N, Algar L. Conservative treatment of mallet finger: A systematic review. J Hand Ther. 2015 Jul-Sep;28(3):237-45; quiz 246. doi: 10.1016/j.jht.2015.03.001. Epub 2015 Mar 10.
- Valdes K, Naughton N, Algar L. ICF components of outcome measures for mallet finger: A systematic review. J Hand Ther. 2016 Oct-Dec;29(4):388-395. doi: 10.1016/j.jht.2016.06.005. Epub 2016 Oct 22.
- Mak L, Aitkens LD, Novak CB. Mallet finger injuries-A new method to maintain distal interphalangeal joint extension. J Hand Ther. 2016 Jul-Sep;29(3):352-5. doi: 10.1016/j.jht.2016.01.002. Epub 2016 Feb 9.
- Maitra A, Dorani B. The conservative treatment of mallet finger with a simple splint: a case report. Arch Emerg Med. 1993 Sep;10(3):244-8. doi: 10.1136/emj.10.3.244.
- Saito K, Kihara H. A randomized controlled trial of the effect of 2-step orthosis treatment for a mallet finger of tendinous origin. J Hand Ther. 2016 Oct-Dec;29(4):433-439. doi: 10.1016/j.jht.2016.07.005. Epub 2016 Oct 18.
- Stern PJ, Kastrup JJ. Complications and prognosis of treatment of mallet finger. J Hand Surg Am. 1988 May;13(3):329-34. doi: 10.1016/s0363-5023(88)80002-9.
- Ulusoy MG, Karalezli N, Kocer U, Uysal A, Karaaslan O, Kankaya Y, Aslan C. Pull-in suture technique for the treatment of mallet finger. Plast Reconstr Surg. 2006 Sep;118(3):696-702. doi: 10.1097/01.prs.0000232983.23840.f2.
- Phadnis J, Yousaf S, Little N, Chidambaram R, Mok D. Open reduction internal fixation of the unstable mallet fracture. Tech Hand Up Extrem Surg. 2010 Sep;14(3):155-9. doi: 10.1097/BTH.0b013e3181d13800.
- Kim JY, Lee SH. Factors Related to Distal Interphalangeal Joint Extension Loss After Extension Block Pinning of Mallet Finger Fractures. J Hand Surg Am. 2016 Mar;41(3):414-9. doi: 10.1016/j.jhsa.2015.11.026. Epub 2016 Jan 12.
- Husain SN, Dietz JF, Kalainov DM, Lautenschlager EP. A biomechanical study of distal interphalangeal joint subluxation after mallet fracture injury. J Hand Surg Am. 2008 Jan;33(1):26-30. doi: 10.1016/j.jhsa.2007.09.006.
- Schneider LH. A biomechanical study of distal interphalangeal joint subluxation after mallet fracture injury. J Hand Surg Am. 2008 Sep;33(7):1248-9; author reply 1249. doi: 10.1016/j.jhsa.2008.04.014. No abstract available.
- Crawford GP. The molded polythene splint for mallet finger deformities. J Hand Surg Am. 1984 Mar;9(2):231-7. doi: 10.1016/s0363-5023(84)80148-3.
- Abouna JM, Brown H. The treatment of mallet finger. The results in a series of 148 consecutive cases and a review of the literature. Br J Surg. 1968 Sep;55(9):653-67. doi: 10.1002/bjs.1800550905. No abstract available.
- Roh YH, Lee BK, Park MH, Noh JH, Gong HS, Baek GH. Effects of health literacy on treatment outcome and satisfaction in patients with mallet finger injury. J Hand Ther. 2016 Oct-Dec;29(4):459-464. doi: 10.1016/j.jht.2016.06.004. Epub 2016 Oct 17.
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 (Actual)
June 1, 2013
Primary Completion (Actual)
June 15, 2015
Study Completion (Actual)
July 1, 2015
Study Registration Dates
First Submitted
July 18, 2017
First Submitted That Met QC Criteria
July 22, 2017
First Posted (Actual)
July 25, 2017
Study Record Updates
Last Update Posted (Actual)
July 25, 2017
Last Update Submitted That Met QC Criteria
July 22, 2017
Last Verified
July 1, 2017
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2014/288
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
IPD Plan Description
No consent was obtained from the patients specifically to share their participant data.
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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