Surgical Versus Conservative Treatment of Acute Mallet Fingers; a Randomised Controlled Trial

Mid Cheshire Hospitals NHS Foundation Trust

Status: Withdrawn

Conditions: Finger Injury

Treatments: Procedure: extensor tendon repair; Procedure: Mallet splint for 4 weeks

Study type: Interventional

Funder types: Other

Identifiers

NCT01016197

PH1

Details and patient eligibility

About

The investigators are investigating if surgical treatment of injuries to the tendon which straightens the finger tip gives a better functional outcome than treatment with a splint while the tendon heals.

Full description

The investigators will randomise patients to receive splinting of their finger while their tendon heals or have surgical intervention. Surgical intervention will entail fixing the tendon with bone anchors and splinting. Conservative treament involves splinting while the tendon heals. We will then monitor the functional outcome of the hand using the DASH questionare over 18 months.

Sex: All

Ages: 16+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• soft tissue mallet finger
• acute injury

Exclusion criteria

• ASA 3 or above
• Unable to give informed consent
• Infection in digit affected

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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0 participants in 2 patient groups

Conservative

Active Comparator group

Description:

Four weeks of splinting followed by mobilisation.

Treatment:

Procedure: Mallet splint for 4 weeks

Surgery

Experimental group

Description:

Surgical repair of the tendon with a bone anchor followed by four weeks of splinting and then mobilisation.

Treatment:

Procedure: extensor tendon repair