Soft Tissue InjuriesNCT02167646
Bilaterally Innervated Sensory Dorsal Digital Flaps for Sensory Reconstruction of the Fingers
A study testing Flap including bilateral nerve branches in people with Soft Tissue Injuries, run by The Second Hospital of Tangshan at 1 site in China.
Trial summary
Sensory coverage in the finger continues to be a challenging problem. This study reports sensory reconstruction of the fingers with the bilaterally innervated dorsal digital flaps and compares the results between the dual- and single-innervated flaps.The main evaluated outcomes are static 2-point discrimination and… Read more about this study
- Who is it for?
- Ages 15 to 60 yearsHealthy volunteers can take part
- Conditions the study is for
- Soft Tissue Injuries
- What is being tested?
- Flap including bilateral nerve branches
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 73 participants
- Where
- 1 siteChina
- Study dates
- Jan 2008to Aug 2013
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 15 to 60 years
- All sexes
- Healthy volunteers accepted
- Child, Adult
Who may be able to join
- a soft-tissue defect in the areas where sensory return was considered important ●a defect with exposed bone or tendon in one finger
- the defect associated with the transected digital nerves in both sides
- a defect greater than 1.5 cm
- a patient aged 15 to 60 years
Who cannot join
- injuries to the dorsum of the finger or to the course of the vascular pedicle that precluded its use as the donor
- injuries to the dorsal branches of the digital nerves that precluded its use as donor nerves attached with the flap
- a defect less than or equal to 1.5 cm
- patient age < 15 years or > 60 years
Trial locations and contacts
1 site in 1 country.
About this study
Sensory coverage in the finger continues to be a challenging problem. This study reports sensory reconstruction of the fingers with the bilaterally innervated dorsal digital flaps and compares the results between the dual- and single-innervated flaps.The main evaluated outcomes are static 2-point discrimination and Semmes-Weinstein monofilament scores of the flap, fingertip pain and joint motion.
Read the detailed description
Pain was given subjectively by the patient using the visual analogue scale (VAS). The VAS consists of a 10 cm line that was grouped into mild (0-3 cm), moderate (4-6 cm) and severe (7-10 cm). Tinel's sign was rated as the following: grade 1=none; grade 2=mild, slight tingle; grade 3=moderate, very uncomfortable; and grade 4=severe, patient unable to use hand because of any stimulation of the neuroma.
- Conditions
- Soft Tissue Injuries
- Being tested
- Flap including bilateral nerve branches
- Keywords
- Soft tissue defect, dorsal branch of the digital nerve, dorsal branch of the digital artery, dorsal digital flap
- Medical subject headings
- Soft Tissue Injuries
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Flap including bilateral nerve branchesProcedure or surgery
Two nerve branches are attached with the flap for sensory coverage
| Study group | Role | What they receive |
|---|---|---|
| Bilaterally innervated flap | Other | Two nerve branches attached with the flap for sensory reconstruction. Receives: Procedure: Flap including bilateral nerve branches |
What is being measured
The primary outcome is the main question the study is designed to answer.
Static 2PD test
We use a Disk-Criminator to test two nearby points when touching the flap
Measured: 18 months to 24 months after surgery
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Jun 2014 (estimated)
- Study startJan 2008
- Primary completionApr 2011
- Study completionAug 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Soft Tissue InjuriesStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 73 participants (actual)
Sponsor and investigators
- Lead sponsor
- The Second Hospital of Tangshan
- Sponsor type
- University, hospital or other
- Collaborators
- Chinese PLA General Hospital
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02167646
- Sponsor's protocol ID
- TSChen10512
- Other IDs
- HBTS14-01502
- Status last verified
- Feb 2012
- First submitted
- 17 Jun 2014
- Last updated
- 29 Oct 2018
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Chen C, Tang P, Zhang X. The dorsal homodigital island flap based on the dorsal branch of the digital artery: a review of 166 cases. Plast Reconstr Surg. 2014 Apr;133(4):519e-529e. doi: 10.1097/PRS.0000000000000016.
PubMed 24675204Chen C, Tang P, Zhao G. Bilaterally innervated dorsal digital flap for sensory reconstruction of digits. Injury. 2014 Dec;45(12):2018-24. doi: 10.1016/j.injury.2014.09.012. Epub 2014 Sep 22.
PubMed 25304161
Study at a glance
From the registry record, last updated by the sponsor on 29 Oct 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Bilaterally Innervated Sensory Dorsal Digital Flaps for Sensory Reconstruction of the Fingers
- ClinicalTrials.gov ID
- NCT02167646
- Acronym / sponsor ID
- TSChen10512
- Conditions
- Soft Tissue Injuries
- Keywords
- Soft tissue defect, dorsal branch of the digital nerve, dorsal branch of the digital artery, dorsal digital flap
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 73 participants (actual)
- Lead sponsor
- The Second Hospital of TangshanUniversity, hospital or other
- Collaborators
- Chinese PLA General Hospital
- Study start
- Jan 2008
- Primary completion
- Apr 2011 (actual)
- Study completion
- Aug 2013 (actual)
- First posted
- 19 Jun 2014 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Sensory coverage in the finger continues to be a challenging problem. This study reports sensory reconstruction of the fingers with the bilaterally innervated dorsal digital flaps and compares the results between the dual- and single-innervated flaps.The main evaluated outcomes are static 2-point discrimination and Semmes-Weinstein monofilament scores of the flap, fingertip pain and joint motion.
Detailed description
Pain was given subjectively by the patient using the visual analogue scale (VAS). The VAS consists of a 10 cm line that was grouped into mild (0-3 cm), moderate (4-6 cm) and severe (7-10 cm). Tinel's sign was rated as the following: grade 1=none; grade 2=mild, slight tingle; grade 3=moderate, very uncomfortable; and grade 4=severe, patient unable to use hand because of any stimulation of the neuroma.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Bilaterally innervated flap | Other | Procedure: Flap including bilateral nerve branchesTwo nerve branches attached with the flap for sensory reconstruction. |
Who may qualify
- Ages
- 15 to 60 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult
Key inclusion criteria (4 listed)
- a soft-tissue defect in the areas where sensory return was considered important ●a defect with exposed bone or tendon in one finger
- the defect associated with the transected digital nerves in both sides
- a defect greater than 1.5 cm
- a patient aged 15 to 60 years
Key exclusion criteria (4 listed)
- injuries to the dorsum of the finger or to the course of the vascular pedicle that precluded its use as the donor
- injuries to the dorsal branches of the digital nerves that precluded its use as donor nerves attached with the flap
- a defect less than or equal to 1.5 cm
- patient age < 15 years or > 60 years
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Flap including bilateral nerve branchesTwo nerve branches are attached with the flap for sensory coverage | Procedure or surgery | Bilaterally innervated flap |
Primary outcome
Static 2PD test
Time frame: 18 months to 24 months after surgery
We use a Disk-Criminator to test two nearby points when touching the flap
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Oct 2018.
- Results publication: PubMed 24675204Chen C, Tang P, Zhang X. The dorsal homodigital island flap based on the dorsal branch of the digital artery: a review of 166 cases. Plast Reconstr Surg. 2014 Apr;133(4):519e-529e. doi: 10.1097/PRS.0000000000000016.
- Derived from this study: PubMed 25304161Chen C, Tang P, Zhao G. Bilaterally innervated dorsal digital flap for sensory reconstruction of digits. Injury. 2014 Dec;45(12):2018-24. doi: 10.1016/j.injury.2014.09.012. Epub 2014 Sep 22.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Flap including bilateral nerve branches in people with Soft Tissue Injuries, run by The Second Hospital of Tangshan at 1 site in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 29 Oct 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Static 2PD test (time frame: 18 months to 24 months after surgery). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02167646, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Oct 2018.