Finger Fracture, Finger Injuries, Finger Mallet
Conditions
Keywords
Bony mallet injury, Anchor suture, Conservative treatment, DIP joint
Brief summary
This study aims to compare conservative treatment versus a new suture anchor technique for bony mallet finger in 29 patients.
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.
Interventions
Suture anchors were used to attach bony fragment. On week 6, patients 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.
Sponsors
Study design
Intervention model description
Patients were randomly assigned to surgical or conservative groups. After 6 weeks patients in both groups were started on the same rehabilitation protocol.
Eligibility
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Extension deficit | 12 months | The inability to actively extend DIP joint to 0 degrees. |
| DIP flexion | 12 months | The maximum angle of flexion at DIP joint |
| Days to return to work | Starting from the date of the start of treatment until patients returns to work, assessed up to 12 months | Time to return to work |
Countries
Turkey (Türkiye)