Injury, Occupational Diseases, Poisoning Surgery Phalangeal fractures
Conditions
Interventions
Open reduction and internal fixation of phalangeal fractures with miniplates and screws
Percutaneous K-wires fixation of phalangeal fractures
Sponsors
Asser Sallam, MD, PhD
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: - Male and female patients - All ages - Patients with unstable phalangeal fractures, closed or clean open fractures - No previous surgeries in the finger - No medical contraindications to surgery - Patients are keen to provide informed consent.
Exclusion criteria
Exclusion criteria: - Patients with pathological fractures - Finger joint stiffness - Arthritic changes - Open or intra-articular fracture - Associated tendon injury
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Radiological outcome: fracture healing and osteoarthritic changes to the finger joint. Bone union, which is defined as the disappearance of fracture lines.;Clinical outcome: Postoperative pain will be assessed using the visual analogue scale. Range of motion of the affected digit will be measured using a standard goniometer and will be evaluated as a proportion of total active motion (%TAM) relative to the contralateral side. Other objective assessments include measurement of grip and pinch strengths and the presence of postsurgical complications.;Functional outcomes: The Arabic version of the disabilities of the arm, shoulder and hand questionnaire (DASH score) and Steel's method will be used to assess the patients¿ functional outcome. ;Functional outcomes: The Arabic version of the disabilities of the arm, shoulder and hand questionnaire (DASH score) | — |
Secondary
| Measure | Time frame |
|---|---|
| Assessment of Complications e.g. Infection, Deformity, Nonunion, loosening, stiffness | — |
Countries
Egypt
Contacts
Public ContactMohamed Radwan
Assist. Prof. and consultant of Orthopedic surgery and Trauma
Outcome results
None listed