Treatment for Partial Lesions of the Fingers Flexor Tendons : Tangential Resection or Direct Suture (FLEXOR)

University Hospital, Strasbourg, France

Status: Terminated

Conditions: Flexor Tendon Injury; Lesions Of The Fingers Flexor Tendons

Treatments: Procedure: suture; Procedure: tangential resection

Study type: Interventional

Funder types: Other

Identifiers

NCT02461680

6021

Details and patient eligibility

About

Flexors tendon injuries are frequent and serious with a potential of definitive functional aftereffects. In the case of partial injury, the treatment is debated. There are 2 techniques of possible repair, the direct suture and the tangential resection. The investigators have already demonstrated that this last technique was favorable for injuries going to 50 %. In the case of partial section between 50 and 75 %, the investigators think that the technique of tangential resection compared with the direct suture would not increase the risks of secondary breaks, would authorize even an immediate mobilization and would decrease the secondary complications.

The main objective is to highlight that the tangential resection is not lower than the classic technique on the clinical plan The secondary objectives are to highlight the non-inferiority of the tangential technique in clinical terms (pains, dexterity, complications), radiologics (MRI, ultrasound) and functional (function, go back to leisures and professional activities)

Enrollment: 3 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• wound dating less than 48 hours
• partial section from 50 % to 75 % of the flexor tendons (deep and/or superficial flexors, long flexor of the thumb) in zones 1, 2, 3, T1 and T2
• tendinous injuries on a single finger

Exclusion criteria

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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3 participants in 2 patient groups

Tangential resection

Experimental group

Description:

the tendon's injury is treated with a tangential resection

Treatment:

Procedure: tangential resection

Suture

Active Comparator group

Description:

The tendon's injury is sutured

Treatment:

Procedure: suture