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The inclusion objective has not been achieved.
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The purpose of this study is to evaluate the contribution of autologous graft reinjection (lipofilling) in the treatment of dysaesthesic pulp.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| lipofilling group | Other | Patient will conduct a total of 4 visits: D15, M1, M3, M6 during which they will have: a clinical examination as well as the following evaluations:
Patients in the lipofilling group will also have:
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| desensitization group | Other | Patient will conduct a total of 4 visits: D15, M1, M3, M6 during which they will have: a clinical examination as well as the following evaluations:
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| autologous transplant reinjection | Procedure | The patient is placed under loco-regional anesthesia. After sterilization of the upper limb and abdomen, the fat is removed at a fold by micro-incision by the Coleman method. The fat is decanted and micro-reinjected into the pulp of the patient's finger with 2 or 3 punctiform incisions. The quantity of fat injected is 2 to 3 mL. Incision of the abdomen and fingers is closed by points at monocryl 4/0. Finally, a fatty dressing is performed on the finger. Patients will benefit from nursing care every 2 days |
| Measure | Description | Time Frame |
|---|---|---|
| Decrease of the EVA between D0 and M6 | visual analogue scale from 0 to 10, knowing that 0 is the absence of discomfort and intolerable discomfort | Day 0, Month 6 |
| Measure | Description | Time Frame |
|---|---|---|
| Subjective self-assessment of the overall functional ability of both upper limbs | DASH questionnaire (Disability of Arm-Shoulder-Hand) | Day 0, Day 15, Month1, Month3, Month6 |
| Measure | Description | Time Frame |
|---|---|---|
| Neuropathic pain | DN4 score (questionnaire) : a score greater than or equal to 4 makes the diagnosis of neuropathic pain. | Day 0, Day 15, Month 1, Month 3, Month 6 |
| Patient satisfaction on the esthetic aspect of the finger |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHRU de Brest | Brest | 29200 | France | |||
| CH de Cornouaille - Quimper |
All collected data that underlie results in a publication
Data will be available beginning three years and ending fifteen years following the final study report completion
Data access requests will be reviewed by the internal committee of Brest UH. Requestors will be required to sign and complete a data access agreement.
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| ID | Term |
|---|---|
| D003887 | Desensitization, Psychologic |
| ID | Term |
|---|---|
| D001521 | Behavior Therapy |
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
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The randomization list is established by the Brest CHRU data management unit before the start of the trial. Based on a ratio (1: 1) with stratification on the center, the type of initial surgery (directed or flap scarring) and the duration of change of dysesthesia (≤ or> 1 year at baseline).
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| desensitization | Other | Patients will have to stimulate the pulp of your finger on a daily basis |
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Subjective satisfaction to the patient's appreciation.
| Month 6 |
| Quimper |
| 29107 |
| France |