Adhesions, Stiffness Stiffness
Conditions
Interventions
Patients will either receive 1ml of subcutaneous micronised lipofilling or 1ml
subcutaneous 0,9% NaCl around the operation site at the end of the ORIF or
tenolysis
Sponsors
Jeroen Bosch Ziekenhuis
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: • Aged 18-65 years • Indication for one of the following surgical procedures: o ORIF due to a single radiologically proven P1 fracture o Secondary tenolysis due to limited digital function after former operative treatment of a P1 fracture • Able to read and speak Dutch • Mentally competent
Exclusion criteria
Exclusion criteria: • Aged below 18 or above 65 years • Concomitant tendinous or neurovascular injuries • Prior surgical interventions of the affected digit; other than operative fracture fixation in case of tenolysis • Prior pathology or surgical interventions of the contralateral digit • Less than 3 months of competent hand therapy in case of secondary tenolysis • A known psychiatric condition • A known systemic disease that will impair wound healing (e.g. diabetes mellitus, known atherosclerosis with an event that required hospitalization, collagen diseases, diseases of the skin, HIV). • Prednisone or other immunotherapy • Smoking • Pregnancy or active child wish
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. In case of an indication for ORIF of P1 fractures the following parameters will be assessed: • Preoperative - Total active motion (TAM) of the contralateral unaffected digit. • 6 weeks, 3 months and 6 months postoperative - TAM of the operated digit and the contralateral unaffected digit. 2. In case of tenolysis after operative treatment of P1 fractures the following parameters will be assessed: • Preoperative - TAM of the affected digit and the contralateral unaffected digit; • 6 weeks, 3 months and 6 months postoperative - TAM of the operated digit and the contralateral unaffected digit; | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. In case of an indication for ORIF of P1 fractures the following parameters will be assessed: • Preoperative - Active range of motion (AROM) and passive range of motion (PROM) of the metacarpophalangeal, proximal interphalangeal and distal interphalangeal (MCP-, PIP- and DIP) joint of the contralateral unaffected digit. • 2 weeks, 6 weeks, 3 months and 6 months postoperative - NRS-score of the abdominal donor site.• 6 weeks, 3 months and 6 months postoperative - AROM and PROM of the MCP-, PIP- and DIP-joint of the operated digit and the contralateral unaffected digit; - MHQ-score.• 6 months postoperative - Radiographic union of the operated digit.• During the 6 months postoperative period - Postoperative complications, including infection, wound-related problems, and stiffness; - Number of secondary procedures, including tenolysis. 2. In case of tenolysis after operative treatment of P1 fractures the following parameters will be assessed: • Preoperative - AROM and PROM of the MCP-, PIP- and DIP-joint of the affected digit and the contralateral unaffected digit; - MHQ-score. • 2 weeks, 6 weeks, 3 months and 6 months postoperative - NRS-score of the abdominal donor site. • 6 weeks, 3 months and 6 months postoperative - AROM and PROM of the MCP-, PIP- and DIP-joint of the operated digit and the contralateral unaffected digit; - MHQ-score. • During the 6 months postoperative period - Postoperative complications, including infection, wound-related problems and stiffness. | — |
Countries
Netherlands
Contacts
Public ContactB.C.J.M. Vries
Jeroen Bosch Ziekenhuis
Outcome results
None listed