Dorsal Finger Reconstruction

Comparative Study to Evaluate the Difference Between Reversed Cross Finger Flap Versus Reversed Island Homo-digital Flap in Distal Dorsal Finger Defect Reconstruction

objective of this study is To compare reversed cross finger flap with reversed island homo-digital flap in distal dorsal finger defect reconstruction regarding reliability & functional and aesthetic outcomes .

comparative study that will be conducted at Plastic surgery department, Sohag university hospital on 30 patients .The population of the study will be patients with distal dorsal digital defects. We will divide the cases into two equal groups: the first are operated with reversed cross-finger flap and the second are operated with reversed island homo-digital flap.

Study Overview

• Status: Active, not recruiting
• Conditions: Finger Injuries
• Intervention / Treatment: Procedure: Reversed Cross Finger Flap; Procedure: reversed island homo-digital flap

• Study Type: Interventional
• Enrollment (Anticipated): 30
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Egypt
  • Sohag, Egypt, 82525
    • Sohag University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 5 years to 70 years (Child, Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• patients with dorsal digital defect distal to distal interphalangeal joint (DIP) joint
• defect size ranged from 1 to 2 cm in width and 1-3 cm in length

Exclusion Criteria:

• chronic heavy smokers,
• traumatic injury to the donor site and perforator .

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: Reversed Cross Finger Flap group 1	Procedure: Reversed Cross Finger Flap; distal dorsal finger defect will be reconstructed by reversed cross finger flap - reversed cross finger flap is a modified cross finger flap harvested from an adjacent finger .
Active Comparator: Reversed island Homo-digital Flap group 2	Procedure: reversed island homo-digital flap; distal dorsal finger defect will be reconstructed by reversed island homo-digital flap - this flap is harvested from the same finger .

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
difference in range of motion between group 1 and group 2	difference in range of motion between group 1 and group 2 will be measured by manual goniometer in degrees	difference in range of motion between group 1 and group 2 will be measured at 4 months postoperative

Collaborators and Investigators

• Sponsor: Sohag University

Study record dates

Study Major Dates

• Study Start (Actual): July 14, 2021
• Primary Completion (Anticipated): February 1, 2022
• Study Completion (Anticipated): March 1, 2022

Study Registration Dates

• First Submitted: July 13, 2021
• First Submitted That Met QC Criteria: July 13, 2021
• First Posted (Actual): July 14, 2021

Study Record Updates

• Last Update Posted (Actual): February 17, 2022
• Last Update Submitted That Met QC Criteria: February 16, 2022
• Last Verified: February 1, 2022

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Wounds and Injuries; Hand Injuries; Finger Injuries
• Other Study ID Numbers: Soh-Med-21-07-09

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No