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This study aims to compare conservative treatment versus a new suture anchor technique for bony mallet finger in 29 patients.
This study aims to compare conservative treatment versus a new suture anchor technique for bony mallet finger in 29 patients who presented to investigators' clinic between 2013 and 2015. Patients were randomly assigned to conservative or surgical treatment groups. Patients in the conservative group were followed with immobilization with aluminum splint and physical therapy. Patients in the surgical group were treated with investigators' new surgical suture anchor technique and then received physical therapy. The patients were followed for 12 months. Primary study outcomes were extension deficit, days to return to work and DIP flexion.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Conservative Treatment | Active Comparator | Patients were treated with 6 weeks with splinting and were then started on physical therapy for 2 weeks. |
|
| Surgical Treatment | Active Comparator | Patients were treated with the new suture anchor technique and after 6 weeks were started on physical therapy for 2 weeks. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Suture anchor technique | Procedure | Suture anchors were used to attach bony fragment. On week 6, patients were then started on physical therapy for 2 weeks. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Extension deficit | The inability to actively extend DIP joint to 0 degrees. | 12 months |
| DIP flexion | The maximum angle of flexion at DIP joint | 12 months |
| Days to return to work | Time to return to work | Starting from the date of the start of treatment until patients returns to work, assessed up to 12 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sefa Giray Batıbay, MD | Istanbul University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Istanbul University Faculty of Medicine | Istanbul | 34093 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 7701632 | Background | Angermann P, Lohmann M. [Hand and wrist injuries. A study of 50.272 injuries]. Ugeskr Laeger. 1995 Feb 6;157(6):734-7. Danish. | |
| 27019806 | Background | Salazar Botero S, Hidalgo Diaz JJ, Benaida A, Collon S, Facca S, Liverneaux PA. Review of Acute Traumatic Closed Mallet Finger Injuries in Adults. Arch Plast Surg. 2016 Mar;43(2):134-44. doi: 10.5999/aps.2016.43.2.134. Epub 2016 Mar 18. |
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No consent was obtained from the patients specifically to share their participant data.
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | May 23, 2013 | Jul 22, 2017 | Prot_000.pdf |
| ICF | No | No | Yes | Informed Consent Form | May 23, 2013 | Jul 22, 2017 | ICF_001.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | May 23, 2013 | Jul 22, 2017 | SAP_002.pdf |
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| ID | Term |
|---|---|
| D005383 | Finger Injuries |
| ID | Term |
|---|---|
| D006230 | Hand Injuries |
| D014947 | Wounds and Injuries |
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| ID | Term |
|---|---|
| D000072700 | Conservative Treatment |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
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Patients were randomly assigned to surgical or conservative groups. After 6 weeks patients in both groups were started on the same rehabilitation protocol.
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| Conservative Treatment | Procedure | The injured finger was immobilized in an aluminium splint for 6 weeks. Patients were then started on physical therapy for 2 weeks. |
|
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