Intra-articular fractures at the dorsal base of the distal phalanx of the hand are usually referred to as Mallet fractures. Treatment of Mallet fractures remains controversial. Although no differences in clinical results are reported between conservative treatment and operative treatment, operative treatment is suggested for fractures involving more than 30% of articular surface. There are many different operative techniques, all with specific disadvantages. The investigators hypothesis is that operative treatment of Mallet fractures with one Meniscus Arrow® has a better outcome than conservative treatment with a Mallet splint.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
84
Closed reduction of the Mallet fracture and fixation with 1 biodegradable meniscus Arrow®
Conservative treatment of the Mallet fracture with the traditional Mallet splint.
st. Elisabeth Hospital
Tilburg, Noord-Barbant, Netherlands
RECRUITINGAmphia Hospital
Breda, North Brabant, Netherlands
NOT_YET_RECRUITINGCatharaina Hospital
Eindhoven, North Brabant, Netherlands
Extension deficit
To evaluate the extension deficit after conservative and operative treatment of a Mallet fracture using the Crawford criteria.
Time frame: 1 year
extension deficit
at every visit, the extension in the DIP joint, is measured
Time frame: 1 year
wound healing disturbances
at every control, this is noted
Time frame: 1 year
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Twee Steden Hospital
Tilburg, North Brabant, Netherlands
RECRUITINGKennemer Gasthuis Hospital
Haarlem, North Holland, Netherlands
NOT_YET_RECRUITINGCanisius-Wilhelmina Hospital
Nijmegen, Netherlands
NOT_YET_RECRUITING