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Fracture immobilization with Buddy taping is not inferior to Splint immobilization for non-displaced extra-articular paediatric finger fractures. However, whether the same applies for reduced finger fractures is unclear.
Displaced fractures will be reduced in the paediatric ED by Emergency physicians. After fracture reduction, fracture immobilization will either be done with a Splint immobilization or a fingertaping. After 4 and 21 days, clinical and radiographic controls will take place at the Hand surgery outpatient clinic.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Buddy taping | Experimental | Buddy taping of the fractured finger to ist neighbouring uninjured finger. |
|
| splint immobilization | Active Comparator | A forearm-based palmar Hand Splint in an intrinsic plus Position, enclosing all fingers without the thumb. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| fracture immobilization after reduction of displaced finger fractures | Procedure | After closed reduction of a displaced finger fracture, fracture immobilization with either Buddy taping or Splint immobilization |
| Measure | Description | Time Frame |
|---|---|---|
| secondary fracture displacement | X-ray controls | 5 and 21 days after fracture reduction |
| Measure | Description | Time Frame |
|---|---|---|
| Patient comfort | visual analog scale (VAS): Smiley scale with a range from 1 to 10, 10 being the highest score possible, indicating that the Patient comfort was very high. | 5 and 21 days after fracture reduction |
| Need for analgesic medication |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Michelle Seiler, MD | University Children's Hospital, Zurich | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Children's Hospital Zurich | Zurich | 8032 | Switzerland |
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interview with Patient and parents
| 5 and 21 days after fracture reduction |
| total range of Motion | measurement | 6 month after fracture reduction |