N/A N=9 Treatment

Repair of Infective Wound Associated With Nerve Defect in the Finger Using A Bipedicled Nerve Flap

Infection Wound · Disruption of Nerve Repair

Bottom Line

View on ClinicalTrials.gov: NCT01707654 ↗

Enrolled (actual)

Serious AEs

0.0%

Results posted

Oct 2013

Primary outcome: Primary: 2-point Discrimination Test — 7.5 mm

Study Design & Population

Study type: Interventional
Phase: N/A
Interventions: Nerve flap (Device)
Age: Pediatric, Adult · 16+ yrs
Sex: All
Sponsor: The Second Hospital of Tangshan
Primary completion: May 2010

Outcome Measures

Outcome	Result	p-value
PRIMARY 2-point Discrimination Test	7.5	—
SECONDARY Semmes-Weinstein (SW) Monofilament Test	—	—

Summary

A combination of soft tissue and digital nerve defects in the finger results in sensory loss of the finger pulp. Reconstruction of these combined injuries is difficult. When the neurocutaneous defect is associated with wound infection, reconstructive alternatives are more limited. From July 2008 to May 2010, a retrospective study was conducted with 9 consecutive postinfection patients who had the neurocutaneous defect of the finger following trauma. The purpose of this retrospective study is to report repair of the complicated infected wound in the finger using the bipedicled nerve flap and to evaluate the efficacy of this technique.

Eligibility Criteria

Inclusion Criteria

an infective wound with exposed bone or tendon in the finger;
soft tissue defect involving proximal half of the middle phalanx, the proximal phalanx, or both;
associated digital nerve defect 1 to 4 cm in length;
single or double nerve defects; and
simultaneous repair of nerve and soft tissue defects.

Exclusion Criteria

injury to the course of the pedicle or the donor site;
nerve defect less than 1 cm or larger than 4 cm in length;
occurrence of the defect in a region the flap is unable to reach, such as distal interphalangeal joint region, distal portion of the middle phalanx of the middle finger and the thumb;
no involvement of the digital nerve.

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01707654). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.