Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
To introduce a novel external-fixation technique using the combination of K-wires and cement. For comparison, we also included another group of patients who were treated using a mini plate and screw system. Bone healing, range of motion of the fingers, costs of treatments, and patient satisfaction were assessed.
Shaft fractures of the proximal phalanx are common injuries that may significantly affect hand function. Good fracture stability to allow early mobilization of joints and thus early return of function. The objective of this report is to introduce a novel external-fixation technique using the combination of K-wires and cement. For comparison, we also included another group of patients who were treated using a mini plate and screw system. A total of 104 patients (131 fingers) were randomly allocated into group A (56 patients) and B (51 patients). Patients in group A were treated with cemented K-wire fixation; and patients in group B were treated with conventional mini-plate. Bone healing, range of motion of the fingers, costs of treatments, and patient satisfaction were assessed.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cemented K-wire Fixation | Experimental | The mean age of group A was 41 years (range, 18-63 years). There were 56 male and 11 female patients. The mean time from injury to operation was 5±4.53 days. Injured digits included index (n=24), long (n=19), ring (n=9), and little (n=15) fingers. Types of fractures were transversal (n=31), oblique or spiral (n=14), and comminuted (n=22) fractures. The patients were treated with Cemented K-wire Fixation. |
|
| Plating | Active Comparator | The mean age of group A was 39 years (range, 19-61 years). There were 51 male and 13 female patients. The mean time from injury to operation was 6±5.53 days. Injured digits included index (n=21), long (n=17), ring (n=10), and little (n=16) fingers. Types of fractures were transversal (n=34), oblique or spiral (n=11), and comminuted (n=19) fractures.The patients were treated with Plating. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cemented K-wire Fixation | Device | Fractures were reduced and then fixed with cemented K-wires. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Bone healing | Time of bone healing. | Up to 12 weeks. From date of randomization until the date of first documented progression from any cause, which is assessed up to 12 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Joint motion | Range of motion of MCP, PIP, and DIP joints. | Up to 2 years. From date of randomization until the date of second documented progression from any cause, which is assessed up to 2 years. |
| Measure | Description | Time Frame |
|---|---|---|
| Patient satisfaction. | Patient self assessment based on 100-mm visual analogue scale. | Up to 2 years. From date of randomization until the date of third documented progression from any cause, which is assessed up to 2 years. |
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Xu Zhang, MD | Third Hospital of Hebei Medical University | Study Chair |
| Xinzhong Shao, MD | Third Hospital of Hebei Medical University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Third Hospital of Hebei Medical University | Shijiazhuang | Hebei | 050051 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27702779 | Result | Miller L, Ada L, Crosbie J, Wajon A. Pattern of recovery after open reduction and internal fixation of proximal phalangeal fractures in the finger: a prospective longitudinal study. J Hand Surg Eur Vol. 2017 Feb;42(2):137-143. doi: 10.1177/1753193416670591. Epub 2016 Oct 4. | |
| 27056278 | Result | Borbas P, Dreu M, Poggetti A, Calcagni M, Giesen T. Treatment of proximal phalangeal fractures with an antegrade intramedullary screw: a cadaver study. J Hand Surg Eur Vol. 2016 Sep;41(7):683-7. doi: 10.1177/1753193416641319. Epub 2016 Apr 7. |
Not provided
Not provided
No plan to share the IPD data.
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D050723 | Fractures, Bone |
| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
Not provided
Not provided
| ID | Term |
|---|---|
| D004595 | Electroplating |
| ID | Term |
|---|---|
| D004572 | Electrolysis |
| D055664 | Electrochemical Techniques |
| D008919 | Investigative Techniques |
Not provided
Not provided
Patients with proximal phalangeal fractures of fingers.
Not provided
Not provided
blinded
| Plating | Device | Fractures were reduced and then fixed with Plate. |
|
| 26699692 | Result | Miller L, Crosbie J, Wajon A, Ada L. No difference between two types of exercise after proximal phalangeal fracture fixation: a randomised trial. J Physiother. 2016 Jan;62(1):12-9. doi: 10.1016/j.jphys.2015.11.006. Epub 2015 Dec 14. |
| 30408421 | Derived | Zhang X, Yu Y, Shao X, Dhawan V, Du W. A randomized comparison of bone-cement K-wire fixation vs. plate fixation of shaft fractures of proximal phalanges. Phys Sportsmed. 2019 May;47(2):189-198. doi: 10.1080/00913847.2018.1546106. Epub 2018 Nov 14. |