NCT03228849

Brief Summary

This study aims to compare conservative treatment versus a new suture anchor technique for bony mallet finger in 29 patients.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
29

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Jun 2013

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

June 1, 2013

Completed
2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 15, 2015

Completed
16 days until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2015

Completed
2 years until next milestone

First Submitted

Initial submission to the registry

July 18, 2017

Completed
7 days until next milestone

First Posted

Study publicly available on registry

July 25, 2017

Completed
Last Updated

July 25, 2017

Status Verified

July 1, 2017

Enrollment Period

2 years

First QC Date

July 18, 2017

Last Update Submit

July 22, 2017

Conditions

Keywords

Bony mallet injuryAnchor sutureConservative treatmentDIP joint

Outcome Measures

Primary Outcomes (3)

  • Extension deficit

    The inability to actively extend DIP joint to 0 degrees.

    12 months

  • DIP flexion

    The maximum angle of flexion at DIP joint

    12 months

  • Days to return to work

    Time to return to work

    Starting from the date of the start of treatment until patients returns to work, assessed up to 12 months

Study Arms (2)

Conservative Treatment

ACTIVE COMPARATOR

Patients were treated with 6 weeks with splinting and were then started on physical therapy for 2 weeks.

Procedure: Conservative Treatment

Surgical Treatment

ACTIVE COMPARATOR

Patients were treated with the new suture anchor technique and after 6 weeks were started on physical therapy for 2 weeks.

Procedure: Suture anchor technique

Interventions

Suture anchors were used to attach bony fragment. On week 6, patients were then started on physical therapy for 2 weeks.

Surgical Treatment

The injured finger was immobilized in an aluminium splint for 6 weeks. Patients were then started on physical therapy for 2 weeks.

Conservative Treatment

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Wehbe Schneider type 1 - 2 and type A - B fractures
  • ability to provide closed reduction
  • patients' voluntariness

You may not qualify if:

  • Wehbe Schneider type C and type 3 fractures

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Istanbul University Faculty of Medicine

Istanbul, 34093, Turkey (Türkiye)

Location

Related Publications (29)

  • Angermann P, Lohmann M. [Hand and wrist injuries. A study of 50.272 injuries]. Ugeskr Laeger. 1995 Feb 6;157(6):734-7. Danish.

    PMID: 7701632BACKGROUND
  • Salazar Botero S, Hidalgo Diaz JJ, Benaida A, Collon S, Facca S, Liverneaux PA. Review of Acute Traumatic Closed Mallet Finger Injuries in Adults. Arch Plast Surg. 2016 Mar;43(2):134-44. doi: 10.5999/aps.2016.43.2.134. Epub 2016 Mar 18.

    PMID: 27019806BACKGROUND
  • Eddy M. Hands, fingers, thumbs - assessment and management of common hand injuries in general practice. Aust Fam Physician. 2012 Apr;41(4):202-9.

    PMID: 22472680BACKGROUND
  • Alla SR, Deal ND, Dempsey IJ. Current concepts: mallet finger. Hand (N Y). 2014 Jun;9(2):138-44. doi: 10.1007/s11552-014-9609-y.

    PMID: 24839413BACKGROUND
  • Moss JG, Steingold RF. The long term results of mallet finger injury. A retrospective study of one hundred cases. Hand. 1983 Jun;15(2):151-4. doi: 10.1016/s0072-968x(83)80006-0.

    PMID: 6884844BACKGROUND
  • Handoll HH, Vaghela MV. Interventions for treating mallet finger injuries. Cochrane Database Syst Rev. 2004;(3):CD004574. doi: 10.1002/14651858.CD004574.pub2.

    PMID: 15266538BACKGROUND
  • Hamas RS, Horrell ED, Pierret GP. Treatment of mallet finger due to intra-articular fracture of the distal phalanx. J Hand Surg Am. 1978 Jul;3(4):361-3. doi: 10.1016/s0363-5023(78)80038-0.

    PMID: 681720BACKGROUND
  • Smit JM, Beets MR, Zeebregts CJ, Rood A, Welters CFM. Treatment options for mallet finger: a review. Plast Reconstr Surg. 2010 Nov;126(5):1624-1629. doi: 10.1097/PRS.0b013e3181ef8ec8.

    PMID: 21042117BACKGROUND
  • Toker S, Turkmen F, Pekince O, Korucu I, Karalezli N. Extension Block Pinning Versus Hook Plate Fixation for Treatment of Mallet Fractures. J Hand Surg Am. 2015 Aug;40(8):1591-6. doi: 10.1016/j.jhsa.2015.04.027. Epub 2015 Jun 10.

    PMID: 26070233BACKGROUND
  • Lubahn JD. Mallet finger fractures: a comparison of open and closed technique. J Hand Surg Am. 1989 Mar;14(2 Pt 2):394-6. doi: 10.1016/0363-5023(89)90121-4. No abstract available.

    PMID: 2732433BACKGROUND
  • Auchincloss JM. Mallet-finger injuries: a prospective, controlled trial of internal and external splintage. Hand. 1982 Jun;14(2):168-73. doi: 10.1016/s0072-968x(82)80011-9. No abstract available.

    PMID: 6749606BACKGROUND
  • Garberman SF, Diao E, Peimer CA. Mallet finger: results of early versus delayed closed treatment. J Hand Surg Am. 1994 Sep;19(5):850-2. doi: 10.1016/0363-5023(94)90200-3.

    PMID: 7806817BACKGROUND
  • Jones NF, Peterson J. Epidemiologic study of the mallet finger deformity. J Hand Surg Am. 1988 May;13(3):334-8. doi: 10.1016/s0363-5023(88)80003-0.

    PMID: 3379264BACKGROUND
  • Nakamura K, Nanjyo B. Reassessment of surgery for mallet finger. Plast Reconstr Surg. 1994 Jan;93(1):141-9; discussion 150-1.

    PMID: 8278469BACKGROUND
  • Panchal-Kildare S, Malone K. Skeletal anatomy of the hand. Hand Clin. 2013 Nov;29(4):459-71. doi: 10.1016/j.hcl.2013.08.001.

    PMID: 24209945BACKGROUND
  • Valdes K, Naughton N, Algar L. Conservative treatment of mallet finger: A systematic review. J Hand Ther. 2015 Jul-Sep;28(3):237-45; quiz 246. doi: 10.1016/j.jht.2015.03.001. Epub 2015 Mar 10.

    PMID: 26003015BACKGROUND
  • Valdes K, Naughton N, Algar L. ICF components of outcome measures for mallet finger: A systematic review. J Hand Ther. 2016 Oct-Dec;29(4):388-395. doi: 10.1016/j.jht.2016.06.005. Epub 2016 Oct 22.

    PMID: 27780628BACKGROUND
  • Mak L, Aitkens LD, Novak CB. Mallet finger injuries-A new method to maintain distal interphalangeal joint extension. J Hand Ther. 2016 Jul-Sep;29(3):352-5. doi: 10.1016/j.jht.2016.01.002. Epub 2016 Feb 9.

    PMID: 27496991BACKGROUND
  • Maitra A, Dorani B. The conservative treatment of mallet finger with a simple splint: a case report. Arch Emerg Med. 1993 Sep;10(3):244-8. doi: 10.1136/emj.10.3.244.

    PMID: 8216604BACKGROUND
  • Saito K, Kihara H. A randomized controlled trial of the effect of 2-step orthosis treatment for a mallet finger of tendinous origin. J Hand Ther. 2016 Oct-Dec;29(4):433-439. doi: 10.1016/j.jht.2016.07.005. Epub 2016 Oct 18.

    PMID: 27769840BACKGROUND
  • Stern PJ, Kastrup JJ. Complications and prognosis of treatment of mallet finger. J Hand Surg Am. 1988 May;13(3):329-34. doi: 10.1016/s0363-5023(88)80002-9.

    PMID: 3379263BACKGROUND
  • Ulusoy MG, Karalezli N, Kocer U, Uysal A, Karaaslan O, Kankaya Y, Aslan C. Pull-in suture technique for the treatment of mallet finger. Plast Reconstr Surg. 2006 Sep;118(3):696-702. doi: 10.1097/01.prs.0000232983.23840.f2.

    PMID: 16932181BACKGROUND
  • Phadnis J, Yousaf S, Little N, Chidambaram R, Mok D. Open reduction internal fixation of the unstable mallet fracture. Tech Hand Up Extrem Surg. 2010 Sep;14(3):155-9. doi: 10.1097/BTH.0b013e3181d13800.

    PMID: 20818217BACKGROUND
  • Kim JY, Lee SH. Factors Related to Distal Interphalangeal Joint Extension Loss After Extension Block Pinning of Mallet Finger Fractures. J Hand Surg Am. 2016 Mar;41(3):414-9. doi: 10.1016/j.jhsa.2015.11.026. Epub 2016 Jan 12.

    PMID: 26794127BACKGROUND
  • Husain SN, Dietz JF, Kalainov DM, Lautenschlager EP. A biomechanical study of distal interphalangeal joint subluxation after mallet fracture injury. J Hand Surg Am. 2008 Jan;33(1):26-30. doi: 10.1016/j.jhsa.2007.09.006.

    PMID: 18261661BACKGROUND
  • Schneider LH. A biomechanical study of distal interphalangeal joint subluxation after mallet fracture injury. J Hand Surg Am. 2008 Sep;33(7):1248-9; author reply 1249. doi: 10.1016/j.jhsa.2008.04.014. No abstract available.

    PMID: 18762129BACKGROUND
  • Crawford GP. The molded polythene splint for mallet finger deformities. J Hand Surg Am. 1984 Mar;9(2):231-7. doi: 10.1016/s0363-5023(84)80148-3.

    PMID: 6715831BACKGROUND
  • Abouna JM, Brown H. The treatment of mallet finger. The results in a series of 148 consecutive cases and a review of the literature. Br J Surg. 1968 Sep;55(9):653-67. doi: 10.1002/bjs.1800550905. No abstract available.

    PMID: 4877731BACKGROUND
  • Roh YH, Lee BK, Park MH, Noh JH, Gong HS, Baek GH. Effects of health literacy on treatment outcome and satisfaction in patients with mallet finger injury. J Hand Ther. 2016 Oct-Dec;29(4):459-464. doi: 10.1016/j.jht.2016.06.004. Epub 2016 Oct 17.

    PMID: 27765527BACKGROUND

MeSH Terms

Conditions

Finger Injuries

Interventions

Conservative Treatment

Condition Hierarchy (Ancestors)

Hand InjuriesWounds and Injuries

Intervention Hierarchy (Ancestors)

Therapeutics

Study Officials

  • Sefa Giray Batıbay, MD

    Istanbul University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Patients were randomly assigned to surgical or conservative groups. After 6 weeks patients in both groups were started on the same rehabilitation protocol.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor, MD

Study Record Dates

First Submitted

July 18, 2017

First Posted

July 25, 2017

Study Start

June 1, 2013

Primary Completion

June 15, 2015

Study Completion

July 1, 2015

Last Updated

July 25, 2017

Record last verified: 2017-07

Data Sharing

IPD Sharing
Will not share

No consent was obtained from the patients specifically to share their participant data.

Locations