Proximal Interphalangeal Joint Fracture
Conditions
Keywords
Suzuki Frame, Comminuted Fracture, Ligamentotaxis, Dynamic Joint Distraction, Finger Fracture
Brief summary
This prospective randomized controlled trial aims to evaluate the functional and radiological outcomes of using the Suzuki frame for treating comminuted intra-articular fractures of the proximal interphalangeal (PIP) joint. The study involves adult patients with PIP joint fractures who will be treated using dynamic joint distraction (ligamentotaxis) via the Suzuki frame. The primary goal is to assess whether this technique facilitates early active finger motion, reduces joint stiffness, and improves long-term functional recovery compared to other methods.
Detailed description
Fractures involving the proximal interphalangeal (PIP) joint are challenging to manage, often leading to pain, stiffness, and functional impairment. Dynamic joint distraction using ligamentotaxis has emerged as an alternative to open surgery to facilitate early mobilization while avoiding the risks of soft-tissue dissection. In this study, we are investigating the short-term functional and radiological outcomes of the Suzuki frame, which utilizes a 1.2-mm Kirschner wire axial traction pin and a hook pin connected by rubber bands to maintain joint congruency. Participants will include adults with isolated, comminuted intra-articular PIP joint fractures. Patients will be monitored over a 6-month follow-up period. Clinical evaluation will include the Visual Analogue Scale (VAS) for pain and the QuickDASH score for functional disability. Radiological assessment will focus on joint alignment and reduction. The study will be conducted at Sohag University Hospital, following an intention-to-treat analysis principle.
Interventions
DEVICESuzuki Frame
Dynamic joint distraction using a 1.2-mm axial traction K-wire in the proximal phalanx, a 1.2-mm hook K-wire in the middle phalanx, and rubber bands to maintain joint congruency and facilitate early motion.
PROCEDUREStandard Conventional Treatment.
"tandard conventional management of comminuted intra-articular proximal interphalangeal joint fractures according to institutional protocols, including closed reduction and splinting or open reduction internal fixation as indicated.
Sponsors
Yehia Mohamed
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age ≥18 years. * Either sex. * Simple or compound (open) fractures. * Isolated fracture involving a single finger. * Comminuted intra-articular proximal interphalangeal (PIP) joint fractures.
Exclusion criteria
* Age \<18 years. * Fractures involving the thumb. * Fractures involving the toes. * Near-total finger amputations.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Functional Outcome using the QuickDASH score. | 6 months post-operatively | The QuickDASH score is a standardized tool used to measure upper limb functional ability. Higher scores indicate greater disability (range 0-100). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain assessment using the Visual Analogue Scale (VAS) | 6 months post-operatively | Pain level assessed on a scale from 0 (no pain) to 10 (worst possible pain). |
| Range of Motion (ROM) of the PIP joint. | 6 months post-operatively | Range of motion (ROM) expressed as the flexion-extension arc in degrees. |
Countries
Egypt
Contacts
CONTACTYahia Mohamed Esmail, MSc
Outcome results
None listed