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A randomised comparative trial of patients following surgical repair of finger flexor tendons, comparing the effect of two splints, on patient-reported hand function and quality of life and clinician-reported range of motion and grip strength.

A randomised comparative trial of patients following surgical repair of finger flexor tendons, comparing the effect of a Manchester short splint versus a forearm-based dorsal blocking splint, on patient-reported hand function and quality of life and clinician-reported range of motion and grip strength.

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12625000758404
Enrollment
1
Registered
2025-07-17
Start date
2025-10-27
Completion date
2027-08-01
Last updated
2026-01-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

The aim of this study is to compare outcomes between two splints used after surgical repair of flexor tendon injury, namely the forearm-based dorsal blocking splint and Manchester short splint. Outcomes will include patient-reported hand function and quality of life, and clinician-reported range of motion and grip strength.

Interventions

The study intervention is the Manchester short splint. This is a splint that extends from the back of the wrist crease to the fingertips. As per usual clinical practice, this splint will be custom-made by a hand therapist (physiotherapist or occupational therapist) and applied within the first 5 days post-operatively, with instructions to wear the splint full time for the first 6 weeks post-operatively (this may be shortened to approximately 5 weeks if indicated due to severe adhesions/stiffness

The study intervention is the Manchester short splint. This is a splint that extends from the back of the wrist crease to the fingertips. As per usual clinical practice, this splint will be custom-made by a hand therapist (physiotherapist or occupational therapist) and applied within the first 5 days post-operatively, with instructions to wear the splint full time for the first 6 weeks post-operatively (this may be shortened to approximately 5 weeks if indicated due to severe adhesions/stiffness and/or difficulty regaining range of motion, as per usual clinical practice). The position of joints within the splint will, as per usual clinical practice, be customised for the zone of repair and the position modified if required by individual factors such as associated nerve repair/tension. Participant feedback about adherence to splint wear will be recorded.

Sponsors

Nicola Williams, Royal Adelaide Hospital
Lead SponsorIndividual

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Outcomes Assessor)

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Admitted to the Royal Adelaide Hospital with traumatic, finger flexor tendon injury who undergo surgical repair. Tendon injuries can include those to zones 1-5, to one or multiple flexor tendons, to one or multiple digits, with only other minor structures damaged (e.g., pulley, digital nerve).

Exclusion criteria

Refuse consent. Other major injuries (e.g., fracture, major nerve injury [as associated with poorer outcomes]). Unable to understand written/spoken English. Major psychiatric/psychological problems. Self-inflicted injury. Unable to commit to returning for follow-up out-patient appointments. Patients who sustain the injury at work and are subsequently on Work Cover (as hand therapy occurs in private setting).

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026