Early Active Finger Exercises in Replanted Fingers

University of Oslo (UIO)

Status: Unknown

Conditions: Amputation

Treatments: Other: Active exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT03383640

2017/1282 D

Details and patient eligibility

About

A controlled randomized trial, including patients undergoing finger replantation surgery. The Control Group will receive a standardized post operative rehabilitation regime, whilst the Intervention Group will receive a rehabilitation regime that includes early active exercises of the replanted digits.

Enrollment: 42 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Age over 18 years
• Total or subtotal amputation injury of 1-4 of the four ulnar digits
• Injury distal to the MCP joint
• Must have injured flexor tendon which requires suture
• Must have a fracture
• Surgery done with a stable osteosynthesis with acceptable post-operative x-ray imaging
• The finger must have had a stable circulation for at least 5 days post-surgery

Exclusion criteria

• Arthrodesis/temporary fixation of the MCP joint
• Bilateral amputation injury
• Severely damage of other parts if the hand compromising the patient's ability to perform active exercises of the fingers
• Patients who cannot follow the planned controls

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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42 participants in 2 patient groups

Control

No Intervention group

Description:

Control Group: Standardized post operative rehabilitation, where active exercises of the replanted digits is postponed until radiologic healing of the amputated bone.

Intervention

Other group

Description:

Intervention Group: Early active exercises of the replanted digits started between day 5 and 7 after surgery, as instructed by hand therapist

Treatment:

Other: Active exercises