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K-wire fixation Versus Conservative Splinting for Tendinous Mallet Finger (Doyle Type I)

K-Wire Fixation Versus Conservative Splinting for Tendinous Mallet Finger (Doyle Type I): A Prospective Randomized Controlled Trial

Status
Active, not recruiting
Phases
Phase 4
Study type
Interventional
Source
TCTR
Registry ID
TCTR20260718011
Enrollment
80
Registered
2026-07-18
Start date
2023-10-01
Completion date
Unknown
Last updated
2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Patients aged 18 years or older presenting with closed tendinous mallet finger (Doyle type I) mallet finger Doyle type I K-wire fixation extension splint distal interphalangeal joint randomized controlled trial hand surgery

Interventions

Patients assigned to the K wire group underwent percutaneous trans articular DIPJ fixation under digital block anesthesia using a single 1.2 mm Kirschner wire, inserted in the operating room under flu
Experimental Device,No Intervention No treatment
K-wire fixation group,Splint group

Sponsors

Orthopaedic Department, Police General Hospital
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Inclusion criteria

Inclusion criteria: 1.Patients aged 18 years or older, 2.presenting with closed tendinous mallet finger (Doyle type I), diagnosed on clinical examination and confirmed on plain radiography to exclude bony avulsion, were eligible for inclusion.

Exclusion criteria

Exclusion criteria: 1.Doyle type II, III, or IV mallet finger, 2.thumb involvement, 3.pre-existing severe swan-neck deformity, 4.a diagnosis of rheumatoid arthritis, 5.inability or unwillingness to attend follow-up visits.

Design outcomes

Primary

MeasureTime frame
DIPJ extension lag 6 to 8 weeks standard finger goniometer,Active DIPJ flexion 6 to 8 weeks standard finger goniometer

Secondary

MeasureTime frame
Pain 6 to 8 weeks Numeric Rating Scale,QuickDASH 6 to 8 weeks QuickDASH disability score

Countries

Thailand

Contacts

Public ContactAttawut Cheewamaitreewong

Police General Hospital

attawut.nut14@gmail.com0822692661

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 10, 2026