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Proximal Interphalangeal Joint Arthroplasty Using a Graft From the Capitate (PIPPC)

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT01479738
First Posted: November 24, 2011
Last Update Posted: November 28, 2011
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Information provided by (Responsible Party):
The Second Hospital of Qinhuangdao
  Purpose
The capitate had a widened distal base. The distal articulation can be used for proximal interphalangeal (PIP) articula reconstruction.

Condition Intervention
Recurrent Dislocation of Hand Procedure: Capitate bone grafting

Study Type: Interventional
Study Design: Intervention Model: Single Group Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: The Second Hospital of Qinhuangdao, Qinhuangdao, Hebei, 066600, China

Resource links provided by NLM:


Further study details as provided by The Second Hospital of Qinhuangdao:

Primary Outcome Measures:
  • range of motion [ Time Frame: 37 to 46 months postoperatively ]
    Active range of motion of the hand were measured by a goniometer.


Secondary Outcome Measures:
  • grip strength [ Time Frame: 37 to 46 months postoperatively ]
    The grip strength of the thumb to the injured finger was measured using dynamometers

  • pinch strength [ Time Frame: 37 to 46 months postoperatively ]
    The pinch strength of the thumb to the injured finger was measured using dynamometers


Enrollment: 18
Study Start Date: January 2005
Study Completion Date: October 2011
Primary Completion Date: August 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Capitate bone grafting
18 patients with PIP joint defects were included in the study. There were 13 male and 5 female patients with a mean age of 31 years (range, 18-47 years). The injury occurred in the right hand in 11 patients and on the left hand in 7. The injured PIP joints were in the index finger (n=7), long finger (n=9), and ring finger (n=2).
Procedure: Capitate bone grafting
Capitate bone graft transfer for PIP joint reconstruction

Detailed 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.
  Eligibility

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Ages Eligible for Study:   18 Years to 50 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

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.
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01479738


Locations
China, Hebei
The second hospital of Qinhuangdao
Qinhuangdao, Hebei, China, 066600
Sponsors and Collaborators
The Second Hospital of Qinhuangdao
Investigators
Study Chair: Xu Zhang, M.D. The Second Hospital of Qinhuangdao
  More Information

Additional Information:
Publications:
Responsible Party: The Second Hospital of Qinhuangdao
ClinicalTrials.gov Identifier: NCT01479738     History of Changes
Other Study ID Numbers: SHQ002
First Submitted: November 19, 2011
First Posted: November 24, 2011
Last Update Posted: November 28, 2011
Last Verified: November 2011

Keywords provided by The Second Hospital of Qinhuangdao:
arthroplasty
graft
capitate
artery

Additional relevant MeSH terms:
Joint Dislocations
Bone Diseases
Musculoskeletal Diseases
Wounds and Injuries