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The investigators are investigating if surgical treatment of injuries to the tendon which straightens the finger tip gives a better functional outcome than treatment with a splint while the tendon heals.
The investigators will randomise patients to receive splinting of their finger while their tendon heals or have surgical intervention. Surgical intervention will entail fixing the tendon with bone anchors and splinting. Conservative treament involves splinting while the tendon heals. We will then monitor the functional outcome of the hand using the DASH questionare over 18 months.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Conservative | Active Comparator | Four weeks of splinting followed by mobilisation. |
|
| Surgery | Experimental | Surgical repair of the tendon with a bone anchor followed by four weeks of splinting and then mobilisation. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| extensor tendon repair | Procedure | Surgical repair of extensor tendon with bone anchor and splinting |
|
| Measure | Description | Time Frame |
|---|---|---|
| DASH score | up to 18 months |
| Measure | Description | Time Frame |
|---|---|---|
| Range of movement at distal interphalyngeal joint. | 3, 6, 12 and 18 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Philip Holland, MBChB, MRCS | National Health Service, United Kingdom | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mid Cheshire NHS Trust | Crewe | CW1 4QJ | United Kingdom |
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| ID | Term |
|---|---|
| D005383 | Finger Injuries |
| ID | Term |
|---|---|
| D006230 | Hand Injuries |
| D014947 | Wounds and Injuries |
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| Mallet splint for 4 weeks | Procedure | The patient will wear a "mallet splint" for fours weeks and then mobilise their finger. |
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