Comparing surgery with pinning to splinting and early mobilization for finger fractures

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study investigates the effectiveness of splinting and early mobilization versus surgical pinning for treating fractures of the base phalanx of the fingers. It involves a randomized clinical trial where patients with specific finger fractures will be assigned to either surgical treatment or conservative treatment with a splint. The primary outcome measured will be the total active range of motion in the affected finger at multiple follow-up points, while secondary outcomes will include the number of sick days and various patient-reported measures. The goal is to determine which method leads to better functional recovery and fewer complications.

Why it matters

Who can join: the full rules

Inclusion Criteria:

-Fractures of the base phalanx of digit 2-5 in the hand.

Exclusion Criteria:

* Fracture older than 2 weeks.
* More than 25° of sagittal plane and/or 10° lateral angulation after reposition.
* Intra-articular step \>1mm.
* Associated fractures in other bones (i e metacarpals, middle and distal phalanges) and/or tendon and nerve injuries in any finger.
* Open fractures.
* Patient age \<18 years.
* Inability to co-operate with the follow-up protocol (i.e. language difficulties, severe psychiatric disorder, cognitive impairment, drug addiction).

Where it's running

• Dept Hand Surgery
  Stockholm, Sweden Recruiting

Study contacts

• Study coordinator: Henrik Alfort, MD
• Email: henrik.alfort@ki.se
• Phone: +46704044648

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.