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This study aims to assess the relationship between overall satisfaction with treatment in a group of randomized patients undergoing elective hand surgery using either absorbable (4-0 Chromic) or non-absorbable (5-0 Nylon) sutures. The investigators will also assess factors associated with wound concerns, pain intensity, magnitude of limitations, and physical function within one month of surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1st random 50% of cohort | Active Comparator | Absorbable Chromic gut sutures |
|
| 2nd random 50% of cohort | Active Comparator | Non-absorbable Nylon sutures |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Absorbable Chromic gut sutures | Procedure | In this group interrupted simple or horizontal mattress skin sutures are used for wound closure per surgeon preference. Standardized wound care instructions will be given to all patients. Those who received absorbable Chromic sutures are treated recording to the standard protocol and they are advised that they can start to gently rub the scab and suture line to encourage the sutures to fall off starting 10-14 days postoperatively. |
| Measure | Description | Time Frame |
|---|---|---|
| Treatment satisfaction measured on an 11-point ordinal scale | The scale ranges from 0 to 10, with higher scores representing higher treatment satisfaction. | Four weeks after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Factors associated with wound concerns within one month of surgery | Factors will include patient demographic factors such as age, sex, race/ethnicity, level of education. Wound concerns will be assessed by number of contacts with questions for wound concerns. | Four weeks after surgery |
| Factors associated with pain intensity (11 point ordinal scale) within one month of surgery |
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Inclusion Criteria:
All patients undergoing common day-case elective hand surgery under local anesthesia, one of the following (initial) procedures:
Patients aged 18-89
Able to provide informed consent
Able to understand English or Spanish to complete questionnaires
Patients who have an email-address or phone number (needed for follow-up)
UT Health Austin Musculoskeletal Institute, Austin Regional Clinic, Orthopaedic Specialists of Austin.
Available for follow-up contact after 4 weeks
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| David Ring, MD PhD | University of Texas at Austin | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Austin Regional Clinic | Austin | Texas | 78705 | United States | ||
| HTB Musculoskeletal Institute |
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Both patient and surgeon will be blinded until just before the start of the procedure.
|
| Non-absorbable Nylon sutures | Procedure | In this group interrupted simple or horizontal mattress skin sutures are used for wound closure per surgeon preference. Standardized wound care instructions will be given to all patients. Those who received Nylon sutures are treated recording to the standard protocol and sutures are removed after the usual time (10-14 days) of the received procedure. |
|
Factors will include patient demographic factors such as age, sex, race/ethnicity, level of education. The scale ranges from 0 to 10, with higher scores representing higher pain intensity. |
| Four weeks after surgery |
| Factors associated with magnitude of limitations (with PROMIS-UE PF) within one month of surgery | Factors will include patient demographic factors such as age, sex, race/ethnicity, level of education. PROMIS-UE PF scores are reported as T-scores with a mean of 50 and SD of 10, with higher scores representing higher levels of physical function. | Four weeks after surgery |
| Factors associated with scar satisfaction (11 point ordinal scale) within one month of surgery | Factors will include patient demographic factors such as age, sex, race/ethnicity, level of education. The scale ranges from 0 to 10, with higher scores representing higher scar satisfaction. | Four weeks after surgery |
| Difference in treatment satisfaction between patients rating 0-8 and 9-10 on an 11-point ordinal scale | he scale ranges from 0 to 10, with higher scores representing higher treatment satisfaction. | Four weeks after surgery |
| Austin |
| Texas |
| 78712 |
| United States |
| Orthopedic Specialists of Austin | Austin | Texas | 78751 | United States |
| ID | Term |
|---|---|
| D002349 | Carpal Tunnel Syndrome |
| D052582 | Trigger Finger Disorder |
| D045888 | Ganglion Cysts |
| D004387 | Dupuytren Contracture |
| ID | Term |
|---|---|
| D020423 | Median Neuropathy |
| D020422 | Mononeuropathies |
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
| D009422 | Nervous System Diseases |
| D009408 | Nerve Compression Syndromes |
| D012090 | Cumulative Trauma Disorders |
| D013180 | Sprains and Strains |
| D014947 | Wounds and Injuries |
| D053682 | Tendon Entrapment |
| D052256 | Tendinopathy |
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
| D003560 | Cysts |
| D009369 | Neoplasms |
| D017520 | Mucinoses |
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D005350 | Fibroma |
| D018218 | Neoplasms, Fibrous Tissue |
| D009372 | Neoplasms, Connective Tissue |
| D018204 | Neoplasms, Connective and Soft Tissue |
| D009370 | Neoplasms by Histologic Type |
| D003286 | Contracture |
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