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Recruiting NCT04561661

Percutaneous Pinning vs Orthosis and Early Mobilization

Trial Parameters

Condition Hand Injuries
Sponsor Karolinska Institutet
Study Type INTERVENTIONAL
Phase N/A
Enrollment 60
Sex ALL
Min Age 18 Years
Max Age N/A
Start Date 2021-03-03
Completion 2026-12
Interventions
Percutaneous pinningConservative treatment

Brief Summary

This study aims at investigating if splinting and early mobilization is a better method, regarding range of motion, for treating fractures of the base phalanx of the fingers compared to surgery with pinning. This will be achieved through a randomised clinical trial comparing the two methods.

Eligibility Criteria

Inclusion Criteria: -Fractures of the base phalanx of digit 2-5 in the hand. Exclusion Criteria: * Fracture older than 2 weeks. * More than 25° of sagittal plane and/or 10° lateral angulation after reposition. * Intra-articular step \>1mm. * Associated fractures in other bones (i e metacarpals, middle and distal phalanges) and/or tendon and nerve injuries in any finger. * Open fractures. * Patient age \<18 years. * Inability to co-operate with the follow-up protocol (i.e. language difficulties, severe psychiatric disorder, cognitive impairment, drug addiction).

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