Treatment of Bennett fractures with tension-band wiring through a small incision under loupes and headlight
| ISRCTN | ISRCTN64894535 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN64894535 |
| Secondary identifying numbers | THHMC20184561 |
- Submission date
- 09/09/2018
- Registration date
- 19/09/2018
- Last edited
- 06/12/2021
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Injury, Occupational Diseases, Poisoning
Plain English Summary
Background and study aims
A Bennett fracture is a common fracture of the thumb. Although numerous treatments have been proposed, the best treatment choice is still controversial. The aim of this study is to investigate the effectiveness of treating Bennett fractures with tension-band wiring through a small incision (cut) under loupes (magnifying lenses) and headlight.
Who can participate?
Patients with Bennett fractures
What does the study involve?
All participants receive treatment with tension-band wiring through a small incision under loupes and headlight. At the final follow-up at 20 months after surgery, joint range of motion, pinch and grip strength, and hand function are assessed.
What are the possible benefits and risks of participating?
Possible benefits include early range of motion which results in a better function of the thumb. Possible risks include joint stiffness and wound infection.
Where is the study run from?
Third Hospital of Hebei Medical University (China)
When is the study starting and how long is it expected to run for?
August 2014 to October 2017
Who is funding the study?
Third Hospital of Hebei Medical University (China)
Who is the main contact?
Dr Xu Zhang
ahand@sina.com
Contact information
Public
Department of Hand Surgery
Third Hospital of Hebei Medical University
Shijiazhuang
050051
China
 ORCID ID |
0000-0002-3383-2781 |
|---|---|
| Phone | +6-13933512651 |
| ahand@sina.com |
Study information
| Study design | Observational case series |
|---|---|
| Primary study design | Observational |
| Secondary study design | Case series |
| Study setting(s) | Hospital |
| Study type | Treatment |
| Scientific title | Treatment of Bennett fractures with tension-band wiring through a small incision under loupes and headlight |
| Study acronym | TBW |
| Study hypothesis | Treatment of Bennett fractures with tension-band wiring through a small incision under loupes and headlight. The treatments are effective with the use of the technique. |
| Ethics approval(s) | Institutional review board of the Third Hospital of Hebei Medical University, 18/09/2014, ref: THHMC20141547 |
| Condition | Bennett fractures |
| Intervention | Treatment of Bennett fractures with tension-band wiring through a small incision under loupes and headlight. The tension band wiring technique was performed in 37 Bennett fractures. The mean time between the injury and operation was 6 days. At the final follow-up, range of motion, pinch and grip strength, and function were assessed. |
| Intervention type | Procedure/Surgery |
| Primary outcome measure | Range of motion: active motion of the first CMC joint assessed using a goniometer at 20 months after surgery |
| Secondary outcome measures | Measured at 20 months after surgery: 1. Pinch and grip strengths measured using dynamometers. In order to exclude the discrepancy between the dominant and nondominant hand strength, the scores for analysis were based on that the pinch strength was 5% and grip strength was 6% higher at dominant sides compared to the nondominant sides. 2. Hand function assessed using the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire |
| Overall study start date | 15/08/2014 |
| Overall study end date | 01/10/2017 |
Eligibility
| Participant type(s) | All |
|---|---|
| Age group | Adult |
| Sex | Both |
| Target number of participants | 37 |
| Participant inclusion criteria | 1. A Bennett fracture with intra-articular gap or step-off at or above 1 mm 2. Size of the fragment at or above 20% of the joint surface on the lateral view 3. Normal opposite hand for comparison |
| Participant exclusion criteria | Rolando fracture, comminuted fracture, and other combined injuries of the same hand |
| Recruitment start date | 01/10/2014 |
| Recruitment end date | 21/11/2015 |
Locations
Countries of recruitment
- China
Study participating centre
Shijiazhuang
050051
China
Sponsor information
Hospital/treatment centre
Department of Hand Surgery
Shijiazhuang
050051
China
"ROR" |
https://ror.org/004eknx63 |
|---|
Funders
Funder type
University/education
No information available
Results and Publications
| Intention to publish date | 01/12/2019 |
|---|---|
| Individual participant data (IPD) Intention to share | No |
| IPD sharing plan summary | Data sharing statement to be made available at a later date |
| Publication and dissemination plan | Planned publication in the Physician and Sportsmedicine journal. |
| IPD sharing plan | The data sharing plans for the current study are unknown and will be made available at a later date. |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Results article | 01/02/2019 | Yes | No |
Editorial Notes
06/12/2021: Corrected publication type from protocol to results.
15/10/2018: Publication reference added
