Buddy Taping Compared to Splint Immobilization for Displaced Paediatric Finger Fractures

University of Zurich (UZH)

Status: Completed

Conditions: Fracture Finger

Treatments: Procedure: fracture immobilization after reduction of displaced finger fractures

Study type: Interventional

Funder types: Other

Identifiers

NCT04068935

Buddy taping 2019

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 50 patients

Sex: All

Ages: 4 to 16 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• extraarticular displaced finger fractures of the proximal or middle phalanges

Exclusion criteria

• fractures of the thumb
• fractures that are open, instable, pathologic or multifragmented
• multiple fractures of the Hand
• phalangeal neck fractures
• presentation later than 5 days after the injury

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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50 participants in 2 patient groups

Buddy taping

Experimental group

Description:

Buddy taping of the fractured finger to ist neighbouring uninjured finger.

Treatment:

Procedure: fracture immobilization after reduction of displaced finger fractures

splint immobilization

Active Comparator group

Description:

A forearm-based palmar Hand Splint in an intrinsic plus Position, enclosing all fingers without the thumb.

Treatment:

Procedure: fracture immobilization after reduction of displaced finger fractures