Deep Fascial Graft Versus Acellular Dermal Matrix Conduit on Repaired Hand's Flexor Tendon: A Comparative Study

Aswan University30 enrolled

Overview

The investigators aim to evaluate the efficacy \& applicability of using deep fascial grafts and acellular dermal matrix conduits in reducing post flexor tendon repair adhesions and improving the clinical outcome.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

Conditions

Tendon Injury - Hand

Interventions

Fascial wrapping the site of tendon repairPROCEDURE

wrapping the tendon repair site by Pelnac or Fascial graft

Modified Kestler tendon repairPROCEDURE

Modified Kestler tendon repair

ADM (Pelnac) wrapping of repaired tendonPROCEDURE

Modifed kestler tendon repair wrapped by ADM ( Pelnac)

Eligibility

Sex: ALLMin age: 16 Years

Medical Language ↔ Plain English

Inclusion Criteria: * recent hand cut tendon Exclusion Criteria: 1. All patients less than 16 years old. 2. Zone 1 , 3 , 4 and zone 5 flexor tendon injuries. 3. Patients with flexor pollicis longus tendon injury. 4. Severely lacerated or crushed tendons. 5. Tendon defects. 6. Multiple level tendon injuries. 7. Associated injuries to muscles. 8. Associated hand or forearm fractures. 9. Patients with poor general condition. 10. Patients with limited passive hand movements. 11. Soft tissues defects overlying the repaired tendons.

Locations (1)

Aswan University Hospitals

Aswān, Egypt

Outcomes

Primary Outcomes

Number of participant with treatment related limitation of Movement

Buck-Gramcko II criteria

Time frame: 6 months postoperative

Number of participant who have fibrous adhesions in Ultra sonography

muscloskeletal ultrasonography

Time frame: 6 months poostoperative

Data from ClinicalTrials.gov

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