All Minor Hand Surgery Including, Carpal Tunnel Syndrome, De Quervain Syndrome, Dupuytren Contracture, Ganglion Cysts, Trigger Finger
Conditions
Brief summary
This study aims to assess the relationship between overall satisfaction with treatment in a group of randomized patients undergoing elective hand surgery using either absorbable (4-0 Chromic) or non-absorbable (5-0 Nylon) sutures. The investigators will also assess factors associated with wound concerns, pain intensity, magnitude of limitations, and physical function within one month of surgery.
Interventions
PROCEDUREAbsorbable Chromic gut sutures
In this group interrupted simple or horizontal mattress skin sutures are used for wound closure per surgeon preference. Standardized wound care instructions will be given to all patients. Those who received absorbable Chromic sutures are treated recording to the standard protocol and they are advised that they can start to gently rub the scab and suture line to encourage the sutures to fall off starting 10-14 days postoperatively.
PROCEDURENon-absorbable Nylon sutures
In this group interrupted simple or horizontal mattress skin sutures are used for wound closure per surgeon preference. Standardized wound care instructions will be given to all patients. Those who received Nylon sutures are treated recording to the standard protocol and sutures are removed after the usual time (10-14 days) of the received procedure.
Sponsors
University of Texas at Austin
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Caregiver)
Masking description
Both patient and surgeon will be blinded until just before the start of the procedure.
Eligibility
Sex/Gender
ALL
Age
18 Years to 89 Years
Healthy volunteers
Yes
Inclusion criteria
* All patients undergoing common day-case elective hand surgery under local anesthesia, one of the following (initial) procedures: * Carpal tunnel release * Trigger finger release * Ganglion excision * Excisional biopsy * De Quervain release * Dupuytren fasciectomy * Any other minor hand surgery * Patients aged 18-89 * Able to provide informed consent * Able to understand English or Spanish to complete questionnaires * Patients who have an email-address or phone number (needed for follow-up) * UT Health Austin Musculoskeletal Institute, Austin Regional Clinic, Orthopaedic Specialists of Austin. * Available for follow-up contact after 4 weeks
Exclusion criteria
* Patients not able to give informed consent * Patients using corticosteroids * Patients with one of the following comorbidities: bleeding disorder, immunodeficiency, collagen vascular disease. * Patients known to be allergic to suture materials * Revision procedures
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Treatment satisfaction measured on an 11-point ordinal scale | Four weeks after surgery | The scale ranges from 0 to 10, with higher scores representing higher treatment satisfaction. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Factors associated with wound concerns within one month of surgery | Four weeks after surgery | Factors will include patient demographic factors such as age, sex, race/ethnicity, level of education. Wound concerns will be assessed by number of contacts with questions for wound concerns. |
| Factors associated with pain intensity (11 point ordinal scale) within one month of surgery | Four weeks after surgery | Factors will include patient demographic factors such as age, sex, race/ethnicity, level of education. The scale ranges from 0 to 10, with higher scores representing higher pain intensity. |
| Factors associated with magnitude of limitations (with PROMIS-UE PF) within one month of surgery | Four weeks after surgery | Factors will include patient demographic factors such as age, sex, race/ethnicity, level of education. PROMIS-UE PF scores are reported as T-scores with a mean of 50 and SD of 10, with higher scores representing higher levels of physical function. |
| Factors associated with scar satisfaction (11 point ordinal scale) within one month of surgery | Four weeks after surgery | Factors will include patient demographic factors such as age, sex, race/ethnicity, level of education. The scale ranges from 0 to 10, with higher scores representing higher scar satisfaction. |
| Difference in treatment satisfaction between patients rating 0-8 and 9-10 on an 11-point ordinal scale | Four weeks after surgery | he scale ranges from 0 to 10, with higher scores representing higher treatment satisfaction. |
Countries
United States
Outcome results
None listed