Flexion contracture of proximal and distal interphalangeal finger joints. Deformity of finger(s)
Conditions
Interventions
Intervention 1: Group A (intervention) : Soft tissue distraction will be performed using pentagonal frame technique. In this method, primarily, scars and contractures will be released using single or
Treatment - Surgery
Group A (intervention) : Soft tissue distraction will be performed using pentagonal frame technique. In this method, primarily, scars and contractures will be released using single or multiple Z or z
Group B (Control) : In this group, scars and contracture will be release using single or multiple Z or zigzag incisions for lengthening. Then, a splint will be used to hold the finger in full extensio
Sponsors
Researach deputy of Tehran university of medical sciences, Faculty of medicine
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Inclusion criteria: patients with long-standing scars on fingers for more than 6 months after the trauma with a history of unsuccessful medical treatment for the past 6 months. Exclusion criteria: history of muscular and/or bone injuries of the fingers (only pure cutaneous and subcutaneous traumatic injuries resulting scar formation will be studied); Bone fracture (using X-rays); acute inflammation or granulation tissue; History of other medical comorbidities including medical or surgical problems, immune-suppression; previous history of surgery in the involved hand; any previous traumatic injuries of the hand; physical exam revealing any sensory, motor or vascular problem within the hand.
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Degree of flexion contracture of proximal interphalangeal finger joints. Timepoint: before surgery, six months after surgery. Method of measurement: Degree using measure.;Degree of flexion contracture of distal interphalangeal finger joints. Timepoint: before surgery, six months after surgery. Method of measurement: Degree using measure. | — |
Secondary
| Measure | Time frame |
|---|---|
| Range of motion of proximal interphalangeal finger joint. Timepoint: before surgery, six months after surgery. Method of measurement: degree using measure.;Range of motion of distal interphalangeal finger joint. Timepoint: before surgery, six months after surgery. Method of measurement: degree using measure. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactDr. Mohammad Reza Keramati
Tehran university of medical sciences
Outcome results
None listed