Repair of Multiple Finger Defects Using the Dorsal Homodigital Island Flaps

NCT01767727 | Completed DMC

• 1 other identifier: HB-TS-0130067
• Study Type: interventional
• Target: 12
• Locations: 1 country
• Sites: 1

Brief Summary

Multiple finger defects are common in hand trauma and result in functional disability. These injuries are often complex and severe, and thus reconstructive alternatives are limited. In this study, we use the dorsal homodigital island flaps, based on the dorsal branch of the digital artery, for reconstruction of multiple finger defects. At the final follow-up, we would evaluate the efficacy of this technique.

Conditions

Finger Injuries; Soft Tissue Injuries

Keywords

surgical flap;; dorsal branch of the digital artery

Outcome Measures

Primary Outcomes (1)

• static two-point discrimination

  The test points are at the center of the flap.Each area is tested 3 times with a Discriminator. We stopp at 4 mm as a limit of two-point discrimination and consider this normal.

  postoperative 18-24 months

Secondary Outcomes (1)

• Cold intolerance of the injured finger

  Postoperative 18-24 months

Study Arms (1)

Surgical flap

OTHER

Surgical flap is based on the dorsal branch of the digital artery, and is used for soft tissue coverageof multiple finger defects.

Procedure: Soft tissue coverage

Interventions

Soft tissue coverage PROCEDURE

The dorsal homodigital island flaps are used for soft tissue coverage of multiple finger defects

Surgical flap

Eligibility Criteria

• Age: 15 Years - 60 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• a patient who had separate soft tissue defects in different fingers in same hand;
• the defect ≥ 1.5 cm and ≤ 3.5 cm in length;
• local tissue near the defect is uninjured; and
• a patient between 15 and 60 years of age.

You may not qualify if:

• concomitant injuries to local tissue around the defect that precluded its use as donor site;
• a defect \< 1.5 cm and ≥ 3.5 cm in length;
• a finger degloving injury;
• the defect of the thumb.

Sponsors & Collaborators

• The Second Hospital of Tangshan: lead
• Chinese PLA General Hospital: collaborator

Study Sites (1)

The Second Hospital of Tangshan

Tangshan, Hebei, 063000, China

Location

Related Publications (2)

• Hu HT, Chen WH, Liu WC, Hang QW. [Fingertip reconstruction using a volar flap based on the transverse palmar branch of the digital artery]. Zhonghua Zheng Xing Wai Ke Za Zhi. 2005 Sep;21(5):353-5. Chinese.

  PMID: 16335381 BACKGROUND

• Al-Qattan MM. Technical modifications and extended applications of the distally based adipofascial flap for dorsal digital defects. Ann Plast Surg. 2004 Feb;52(2):168-73. doi: 10.1097/01.sap.0000101954.16674.99.

  PMID: 14745267 RESULT

MeSH Terms

Conditions

Finger Injuries; Soft Tissue Injuries

Condition Hierarchy (Ancestors)

Hand Injuries; Wounds and Injuries

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 10, 2013
• First Posted: January 14, 2013
• Study Start: March 1, 2008
• Primary Completion: August 1, 2011
• Study Completion: October 1, 2012
• Last Updated: October 29, 2018

Record last verified: 2012-10

Locations

CN (1)