Sensory Reconstruction of Finger Pulp Defect Using a Dorsal Digital Island Flap

This study has been completed.
Sponsor:
Collaborators:
Chinese PLA General Hospital
The Second Hospital of Qinhuangdao
Information provided by (Responsible Party):
The Second Hospital of Tangshan
ClinicalTrials.gov Identifier:
NCT01486719
First received: December 4, 2011
Last updated: December 5, 2011
Last verified: December 2011

December 4, 2011
December 5, 2011
February 2008
May 2009   (final data collection date for primary outcome measure)
static 2-point discrimination test [ Time Frame: Patients were followed for 16-23 months (mean, 19 months) ] [ Designated as safety issue: No ]
The patients were assessed at follow-up by an independent senior surgeon who did not attend the treatments. Evaluation included active range of motion (ROM) of the DIP and proximal interphalangeal (PIP ) joints, and static 2-point discrimination (2PD) and Semmes-Weinstein monofilament test of the reconstructed finger pulps. These measurements were compared with those on the contralateral site. According to the Michigan Hand Outcomes Questionnaire (MHQ), patients reported their satisfaction with the appearance of the injured hand. The questions based on a 5-point response scale.
Same as current
Complete list of historical versions of study NCT01486719 on ClinicalTrials.gov Archive Site
Semmes-Weinstein monofilament test [ Time Frame: Patients were followed for 16-23 months (mean, 19 months) ] [ Designated as safety issue: No ]
The patients were assessed at follow-up by an independent senior surgeon who did not attend the treatments. Evaluation included active range of motion (ROM) of the DIP and proximal interphalangeal (PIP ) joints, and static 2-point discrimination (2PD) and Semmes-Weinstein monofilament test of the reconstructed finger pulps. These measurements were compared with those on the contralateral site.
Same as current
Not Provided
Not Provided
 
Sensory Reconstruction of Finger Pulp Defect Using a Dorsal Digital Island Flap
Sensory Reconstruction of Finger Pulp Defect Using a Dorsal Digital Island Flap

Sensory reconstruction of the finger pulp is a challenging problem. This article reports repair of the finger pulp defect using the dorsal digital island flap. Both dorsal branches of the proper digital nerves (PDNs) were used for maximal sensory restoration.

From February 2008 to May 2009, the flap harvested from the dorsum of the middle phalanx of the same finger was used in 12 fingers in 12 patients. The flaps ranged in size from 2.0 × 2.0 cm to 2.8 × 2.2 cm. The mean pedicle length was 1.2 cm. Neurorrhaphy between the dorsal branches of the PDN and PDN was performed in both sides in all cases. Sensibility of the reconstructed finger pulp was evaluated by static 2-point discrimination (2PD) and Semmes-Weinstein monofilament test. The range of motion of the donor fingers was measured. The data were compared to those of the opposite sides.

Interventional
Not Provided
Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Treatment
Trauma
Procedure: Sensate Dorsal Digital Island Flap
This article reports repair of the finger pulp defect using the dorsal digital island flap. Both dorsal branches of the proper digital nerves (PDNs) were used for maximal sensory restoration.
Other Names:
  • Surgical Flap
  • Island Flap
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
12
March 2011
May 2009   (final data collection date for primary outcome measure)

Inclusion Criteria:

  1. a finger pulp defect > 1.5 cm in length
  2. necessity to preserve finger length
  3. patients younger than 60 years .

Exclusion Criteria:

  1. injury to the dorsum of the middle phalanx of the reconstructed finger that precluded its use as donor site
  2. injury to the course of the vascular pedicle or opposite PDA
  3. defects < 1.5 cm in length.
Both
15 Years to 60 Years
No
Contact information is only displayed when the study is recruiting subjects
Not Provided
 
NCT01486719
CHEN-19750306
Yes
The Second Hospital of Tangshan
The Second Hospital of Tangshan
  • Chinese PLA General Hospital
  • The Second Hospital of Qinhuangdao
Not Provided
The Second Hospital of Tangshan
December 2011

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP