Health TrialsbyHealthPanel

Functional Outcome After EPL-rupture After Distal Radius Fracture

ConditionDistal Radius Fracture
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age16+
SponsorVastra Gotaland Region

About this trial

Rupture of the extensor pollicis longus, (EPL) is a common complication after distal radius fractures. A rupture prevents the thumb extension, which in turn has a negative impact on hand function. An EPL-rupture can either be surgically treated by primary suture, which means that the ends of the tendon are sutured. This is however not recommended if the tendon is weakened. In such cases the rupture can be treated by a transfer of, most often, extensor indicis proprius (EIP) to the thumb.

Distal radius fractures are common and a rupture of the EPL-tendon is a known complication thar interferes with hand function and therefore more studies on this patient group are warranted.

The aim of this prospective study is to compare regaining of thumb function after surgery, with the non-injured side, after primary suture and EIP-transfer after EPL-rupture as a complication following distal radius fracture.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Distal Radius Fracture

EPL-rupture

Disqualifiers

comorbidity interfering with thumb function

inability to fill in forms

Trial population

Patients with distal radius fractures who suffer from rupture of the EPL-tendon

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • primary suture

    Procedure/Surgery

    Primary suture of the EPL-tendon

  • EIP-transfer

    Procedure/Surgery

    transfer of the EIP-tendon to the EPL-tendon

Treatment groups

60 Participants
are divided into 2 treatment groups
Group A: Primary suture1 intervention
Group B: EIP- transfer1 intervention

Trial outcomes

Primary outcomes

1

range of motion

extension, flexion, abduction, retroposition of thumb

Time frame
3 months postoperatively
2

range of motion

extension, flexion, abduction, retroposition of thumb

Time frame
6 months postoperatively

Secondary outcomes

1

strength

pinch, lateral pinch, grip strength

Time frame
3 months postoperatively
2

strength

pinch, lateral pinch, grip strength

Time frame
6 months postoperatively

Other outcomes

1

Quick-DASH (Disabilities of the Arm, Shoulder and Hand)

Patient rating of function. Minimum score 0 points, maximum score 100 points. Higher scores indicate a worse outcome.

Time frame
3 months postoperatively
2

Quick-DASH (Disabilities of the Arm, Shoulder and Hand)

Patient rating of function. Minimum score 0 points, maximum score 100 points. Higher scores indicate a worse outcome.

Time frame
6 months postoperatively

Sponsors and contacts

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

Vastra Gotaland Region

Lead sponsor

Source ClinicalTrials.gov
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