Comparing Two Skin Incisions for Flexor Tendon Repair

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorSahlgrenska University Hospital

About this trial

Flexor tendons injuries in the fingers are common and often require surgery. During surgery, the surgeon needs to make an incision in the skin on the inside of the finger to access the damaged tendon.

A comparison will be done between two types of skin incisions in the fingers:

* Bruner zig-zag incision * modified Bruner midlateral zig-zag incision

Research questions:

* Is there a difference in pain between the types of incisions? * Is there a difference in swelling between the types of incisions? * Does the type of incision affect the final result in term of motion?

Patients who will undergo surgery for a flexor tendon injury in a finger will be asked to participate and be randomized to one type of skin incision. All other parts of the surgery will be carried out as usual.

An occupational therapist and nurse will measure swelling and motion. The participant will report pain on a daily basis.

The results for pain, swelling, motion in the fingers and sensibility in the fingers will be statistically compared between the two types of incisions on a group level.

The results of this study may lead to guidelines for skin incisions in acute flexor tendon repair, allowing patients to experience less pain and swelling. This may facilitate the rehabilitation program and improve the final functional outcome.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

flexor tendon injury in the hand in zone 2

Disqualifiers

complex injuries with fracture and/or skin defect

previous injury with functional deficit of the finger or the contralateral control finger

incapable to follow the training protocol for flexor tendon injuries

not proficient in swedish or english language

Trial design

Design model

Parallel

Treatments tested in this trial

  • Skin incision for flexor tendon repair

    Procedure/Surgery

    Two different types of skin incisions will be compared for patients needing flexor tendon repair in the finger.

Treatment groups

70 Participants
are divided into 2 treatment groups
Group A: BrunerActive comparator 1 intervention
Group B: Modified BrunerActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

pain with exercise

Visual Analogue scale from 0 to 10. 0 = is no pain at all; 10 = the worst pain

Time frame
from day 3 after surgery, daily until 3 months after surgery

Secondary outcomes

1

pain at rest

Visual Analogue Scale from 0 to 10. 0 = no pain at all; 10 = the worst pain

Time frame
from day 3 after surgery until 3 months after surgery
2

pain medication

use of pain medication, opioids/non-opioids

Time frame
from day 3 after surgery until 3 months after surgery
3

swelling

fingers circumferens in mm

Time frame
at 2, 4, 6, 8, 12 weeks
4

range of motion

total active motion of the finger

Time frame
at 2, 4, 6, 8, 12 weeks

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Sahlgrenska University Hospital

Lead sponsor

Västra Götalandsregionen

Collaborator

Göteborg University

Collaborator

This trial is not recruiting at the moment. You can still explore other options: