N/A
N=32
Extension Block Technique Versus Splinting in Mallet Finger Fracture.
Mallet Finger
Bottom Line
View on ClinicalTrials.gov: NCT01738919 ↗Enrolled (actual)
32
Serious AEs
0.0%
Results posted
Nov 2016
Primary outcome: Primary: Extension Deficit in the Affected Distal Interphalangeal Joint. — 12; 10 degrees extension deficit
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Conservative treatment with splinting for 6 weeks. (Procedure); Operative treatment with extension block technique (Procedure)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- University of Aarhus
- Primary completion
- May 2015
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Extension Deficit in the Affected Distal Interphalangeal Joint. |
12; 10 | — |
| SECONDARY Pain |
1; 1.5 | — |
| SECONDARY Bump |
7; 5 | — |
| SECONDARY Complications |
2; 4 | — |
| SECONDARY DASH |
4.5; 12.6 | — |
| SECONDARY Flexion of the Distal Interphalangeal Joint. |
65; 50 | — |
Summary
Mallet finger is an avulsion of the extensor tendon at its insertion on the base of the distal phalanx, with or without fracture.
Treatment af mallet finger fractures involving more than 1/3 of the articulating surface is controversial. There are to our knowledge no randomized controlled trials comparing splinting and surgical treatment with extension block technique.
The aim of this study is to compare splinting and surgical extension block fixation of mallet finger fractures in a randomized controlled trial.Our hypothesis is that conservative treatment with splinting is comparable to surgical treatment concerning functional outcome, and may even reduce the complication rates.
The original protocol was designed to include participants with non-subluxated and subluxated mallet finger fractures. However this study only included participants with non-subluxated fingers.
Eligibility Criteria
Inclusion Criteria
- Age >18 years
- Mallet finger fractures with a >1mm displaced fragment involving one-third or more of the articular surface and/ or subluxation of the distal phalanges.
- Fractures with a delay of < 2 weeks.
- With reference to Wehbé and Schneider's established classification, fractures type IB and IC are included.
Exclusion Criteria
- Open injuries
- Mallet finger fracture of the thumb
- Co-existing rheumatologic illness in the fingers
- No-compliance patient
Data sourced from ClinicalTrials.gov (NCT01738919). 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.