Comparing surgery with pinning to splinting and early mobilization for finger fractures
A Randomized Comparison Between Percutaneous Pinning and Non-surgical Management of Proximal Phalangeal Fractures
This study is testing whether surgery or a splint with early movement works better for healing finger fractures and helping people regain motion.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 60 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Karolinska Institutet Academic / other |
| Locations | 1 site (Stockholm) |
| Trial ID | NCT04561661 on ClinicalTrials.gov |
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.
Who should consider this trial
Good fit: Ideal candidates are adults with fractures of the base phalanx of digits 2-5 in the hand.
Not a fit: Patients with fractures older than 2 weeks, significant angulation, or associated injuries will not benefit from this study.
Why it matters
Potential benefit: If successful, this study could provide a less invasive treatment option that improves recovery outcomes for patients with finger fractures.
How similar studies have performed: Previous studies have shown promising results for non-surgical treatments in similar cases, suggesting potential for success in this approach.
Eligibility criteria
Show full inclusion / exclusion criteria
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 this trial is running
Stockholm
- Dept Hand Surgery — Stockholm, Sweden (Recruiting)
Study contacts
- Study coordinator: Henrik Alfort, MD
- Email: henrik.alfort@ki.se
- Phone: +46704044648
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.