Amputation
Conditions
Brief summary
A controlled randomized trial, including patients undergoing finger replantation surgery. The Control Group will receive a standardized post operative rehabilitation regime, whilst the Intervention Group will receive a rehabilitation regime that includes early active exercises of the replanted digits.
Interventions
OTHERActive exercises
Active flexion movements every waking hour of the replanted digits
Sponsors
Oslo University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Age over 18 years * Total or subtotal amputation injury of 1-4 of the four ulnar digits * Injury distal to the MCP joint * Must have injured flexor tendon which requires suture * Must have a fracture * Surgery done with a stable osteosynthesis with acceptable post-operative x-ray imaging * The finger must have had a stable circulation for at least 5 days post-surgery
Exclusion criteria
* Arthrodesis/temporary fixation of the MCP joint * Bilateral amputation injury * Severely damage of other parts if the hand compromising the patient's ability to perform active exercises of the fingers * Patients who cannot follow the planned controls
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| TAM | 12 months | Total active movement of the interphalangeal joints |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quick-DASH | 12 months | Upper extremity function score (patient related outcome measure) |
| VAS Pain | 12 months | Visual Analogue Score Pain |
| VAS Function | 12 months | Visual Analogue Score Function |
| Grip strength | 12 months | Jamar dynanometer |
| Key pinch | 12 months | Jamar dynamometer |
Contacts
Primary ContactJohanne Korslund, Cand.med
Backup ContactMagne Røkkum, PhD
Outcome results
None listed