Proximal Interphalangeal Joint Arthroplasty Using a Graft From the Capitate

Recurrent Dislocation of Hand Clinical Trial

— PIPPC  

Official title:

The Second Hospital of Qinhuangdao, Qinhuangdao, Hebei, 066600, China

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01479738
• Other study ID #: SHQ002
• Status: Completed
• Phase: N/A
• First received: November 19, 2011
• Last updated: November 24, 2011
• Start date: January 2005
• Est. completion date: October 2011

Study information

• Verified date: November 2011
• Source: The Second Hospital of Qinhuangdao
• Contact: n/a
• Is FDA regulated: No
• Health authority: China: Ethics Committee
• Study type: Interventional

Clinical Trial Summary

The capitate had a widened distal base. The distal articulation can be used for proximal interphalangeal (PIP) articula reconstruction.

Description:

Previous anatomical studies have shown that the capitate had a widened distal base. The distal articulation was mainly with the base of the third metacarpal and partially with the base of the second metacarpal. The articulation was slightly flattened with a convex and concave dorsal articular surface. The contour stimulates our imagination and creativity to use a portion of the articular surface for PIP arthroplasty.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 18
• Est. completion date: October 2011
• Est. primary completion date: August 2011
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years to 50 Years

Eligibility

Inclusion Criteria:

1. an articular defect at the proximal aspect of the PIP joint;

2. the defect larger than 5 mm × 5 mm in size based on intraoperative findings.

Exclusion Criteria:

1. large defects involved double joint surfaces;

2. the size of the defect less than 5 mm × 5 mm;

3. mult-digital articular defects that all required osteoarticular grafting;

4. associate with infection or other diseases that restrict to use the technique.

Study Design

Endpoint Classification: Safety Study, Intervention Model: Single Group Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment

Related Conditions & MeSH terms

• Dislocations
• Recurrence
• Recurrent Dislocation of Hand

Intervention

Procedure:
• Capitate bone grafting
Capitate bone graft transfer for PIP joint reconstruction

Locations

Country	Name	City	State
China	The second hospital of Qinhuangdao	Qinhuangdao	Hebei

Sponsors (1)

Lead Sponsor	Collaborator
The Second Hospital of Qinhuangdao

Country where clinical trial is conducted

China, 

References & Publications (1)

Freiberg A. Management of proximal interphalangeal joint injuries. Can J Plast Surg. 2007 Winter;15(4):199-203. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	range of motion	Active range of motion of the hand were measured by a goniometer.	37 to 46 months postoperatively	Yes
Secondary	grip strength	The grip strength of the thumb to the injured finger was measured using dynamometers	37 to 46 months postoperatively	Yes
Secondary	pinch strength	The pinch strength of the thumb to the injured finger was measured using dynamometers	37 to 46 months postoperatively	Yes

External Links

•   Management of proximal interphalangeal joint injuries