All adult patients with unstable shaft fractures and fractures with a symptomatic rotational or angular deformity requiring operative treatment.
Conditions
Interventions
The intervention group will be treated with K-wire fixation in combination with direct post-operative mobilization, supervised by the hand physiotherapist. Surgery will be performed by a certified tra
Sponsors
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Eligibility
Inclusion criteria
Inclusion criteria: - Patients =18 years - Single proximal phalangeal shaft fracture - Unstable shaft fractures and fractures with a symptomatic rotational or angular deformity requiring operative treatment.
Exclusion criteria
Exclusion criteria: - Stable proximal phalangeal shaft fracture requiring conservative treatment - Proximal phalangeal shaft fracture of the thumb. - Open fractures - Multiple proximal phalangeal fractures - Patients with impaired hand function prior to injury due to arthrosis/neurological disorders of the upper limb - Multiple trauma patients (Injury Severity Score (ISS) =16) - Other injuries in the ipsilateral extremity - Insufficient comprehension of the Dutch language to understand a rehabilitation program and other treatment information as judged by the attending physician - Patient suffering from disorders of bone metabolism other than osteoporosis (i.e. Paget’s disease, renal osteodystrophy, osteomalacia) - Patients suffering from connective tissue disease or (joint) hyper-flexibility disorders such as Marfan’s, Ehler Danlos or other related disorders.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Function, pain and disability expressed as change on the Michigan Hand Questionnaire Score (MHQ-DLV) over 3 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain, well-being, understanding medical information, total active motion of finger and wrist, patient satisfaction, patient expectation, quality of life, complications, work-absence, cost effectiveness. | — |
Contacts
Public ContactDorien Salentijn
OLVG/Maasstad ziekenhuis
Outcome results
None listed