Mallet finger is an avulsion of the extensor tendon at its insertion on the base of the distal phalanx, with or without fracture. Treatment af mallet finger fractures involving more than 1/3 of the articulating surface is controversial. There are to our knowledge no randomized controlled trials comparing splinting and surgical treatment with extension block technique. The aim of this study is to compare splinting and surgical extension block fixation of mallet finger fractures in a randomized controlled trial.Our hypothesis is that conservative treatment with splinting is comparable to surgical treatment concerning functional outcome, and may even reduce the complication rates. The original protocol was designed to include participants with non-subluxated and subluxated mallet finger fractures. However this study only included participants with non-subluxated fingers.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE
Enrollment
32
Aluminum Karstam splints are used.
Surgery with extension block technique. 6 weeks.
Department of Hand Surgery, Aarhus University Hospital
Aarhus, Denmark
Extension Deficit in the Affected Distal Interphalangeal Joint.
Extension deficit measured in degrees, using goniometer. (The lacking extension from at straight stretched finger = degrees of extension deficit)
Time frame: 6 month
Pain
Pain in the affected join. Pain intensity were reported on a numeric rating scale (NRS), from 0-10, with 0 indicating no pain.
Time frame: 6 month
Bump
Number of participants with the presence of a bump on the fracture-site.
Time frame: 6 month
Complications
Number of participants with nail deformities.
Time frame: 6 month
DASH
Questionary: Disabilities of the Arm, Shoulder and Hand Danish version (qDASH). Scale range 0-100, with 0 indicating no disability.
Time frame: 6 month
Flexion of the Distal Interphalangeal Joint.
Flexion of the distal interphalangeal joint. Measured with goniometer.
Time frame: 6 months
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.