Flexor Tendon Clinical Trial
Official title:
Comparison of the Effect of Splinting the Wrist in Extension Versus Neutral Positioning During Rehabilitation Following Zone I/II Flexor Tendon Repair
Hand flexor tendons bend the fingers down towards the palm, and can be cut during a sharp
penetrating injury (e.g. from a knife or saw). Damaged flexor tendons are repaired surgically
with sutures (stitches). After repair, a splint is applied to the fingers, hand and wrist for
six to twelve weeks to protect the repair while the tendon heals and regains its normal
strength.
Most rehabilitation protocols use a splint in which the wrist position is kept straight
(neutral) or bent (flexed). Some groups have described splinting with the wrist cocked back
(extended) and have made the argument that this may improve outcomes, as experimental data
suggests that splinting the hand with the wrist extended increases the range of movement of
the repaired flexor tendon (excursion), and therefore reduces the chance of the tendon
sticking down to the surrounding tissues (adhesion). Previous studies have shown no adverse
effects from splinting hands with the wrist extended, and no evidence tells us which wrist
splint position is better (a state of clinical equipoise or apparently equivalent outcomes).
This randomised trial aims to produce this evidence, and therefore improve functional
outcomes for patients in future.
We propose to carry out a study to compare the outcomes (grip strength and range of movement)
of flexor tendon repair in two groups of patients: one with wrists splinted in a neutral
position and the other splinted in an extended position during their postoperative
rehabilitation. No changes will be made to patient assessment and management,the surgery
undertaken and the rehabilitation regime other than those to splint position. Previous work
suggests that both positions are safe and effective. Informed consent will be obtained from
all patients enrolled in the trial, and we aim to find out if the extended splint position
produces better functional results.
n/a
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Recruiting |
NCT04322370 -
Prospective Randomized Blinded Trial of VersaWrap Tendon Protector for Zone 2 Flexor Tendon Injuries
|
N/A |