Tendon Injury - Hand
Conditions
Brief summary
The investigators aim to evaluate the efficacy & applicability of using deep fascial grafts and acellular dermal matrix conduits in reducing post flexor tendon repair adhesions and improving the clinical outcome.
Interventions
PROCEDUREFascial wrapping the site of tendon repair
wrapping the tendon repair site by Pelnac or Fascial graft
PROCEDUREModified Kestler tendon repair
Modified Kestler tendon repair
PROCEDUREADM (Pelnac) wrapping of repaired tendon
Modifed kestler tendon repair wrapped by ADM ( Pelnac)
Sponsors
Aswan University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
16 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* recent hand cut tendon
Exclusion criteria
1. All patients less than 16 years old. 2. Zone 1 , 3 , 4 and zone 5 flexor tendon injuries. 3. Patients with flexor pollicis longus tendon injury. 4. Severely lacerated or crushed tendons. 5. Tendon defects. 6. Multiple level tendon injuries. 7. Associated injuries to muscles. 8. Associated hand or forearm fractures. 9. Patients with poor general condition. 10. Patients with limited passive hand movements. 11. Soft tissues defects overlying the repaired tendons.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of participant with treatment related limitation of Movement | 6 months postoperative | Buck-Gramcko II criteria |
| Number of participant who have fibrous adhesions in Ultra sonography | 6 months poostoperative | muscloskeletal ultrasonography |
Countries
Egypt
Outcome results
None listed