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CompletedNCT02695485Updated Mar 1, 2016

Sensory Reconstruction of the Digits

An interventional study of innervated sensate flap in Soft Tissue Defect of Digit, sponsored by The Second Hospital of Tangshan. Completed. Open to participants aged 15 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2016-03-01.

Sponsored by The Second Hospital of Tangshan · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
151
Allocation
Not applicable
Ages
15 Years to 60 Years
Sex
All
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Study summary

A retrospective study is conducted with 151 patients who has a soft tissue defect of digit treated with the sensate flaps from February 2005 to March 2014. Based on the different regions of soft tissue defects, the patients in the study are divided into four groups: (1) thumb group treated with the bilaterally innervated and traditional kite flaps; (2) distal finger group treated with the single- and dual-innervated dorsal digital flaps; (3) proximal finger group treated with heterodigital neurocutaneous island flap; and (4) awkward region group treated with Litter flap. The main outcomes are static 2-point discrimination and Semmes-Weinstein monofilament scores of the flap, and pain and patient satisfaction.

Read the detailed description

At final follow-up, sensory restoration of the flap is measured using the static 2PD test and Semmes-Weinstein monofilament test. Using the visual analogue scale (VAS) that consists of a 10 cm line, patients are asked to report pain sensations of the recipient site. Patients report their satisfaction with functional recovery of the injured finger according to the Michigan Hand Outcomes Questionnaire that is based on a 5-point response scale.

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Conditions studied

  • Soft Tissue Defect of Digit

Keywords

  • dorsal digital island flap
  • sensory reconstruction
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In context

Lead sponsor

The Second Hospital of Tangshan is the lead sponsor of 22 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
15 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • thumbtip degloving injury with a projecting tip of exposed bone or/and pulp defect; the defect ≥2 cm in length associated with the transected digital nerves in both sides; necessity to preserve thumb length; patient at or younger than 55 years of age

Exclusion criteria

Exclusion Criteria:

  • injury to the dorsum of the proximal or/and middle phalanx of the index finger; injury to the course of the FDMA; thumb nail bed defect; radial or ulnar portion of thumbtip or pulp defect
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
151 participants (actual)

Study arms

  • Other
    sensate flap

    the donor nerve harvested with the flap

    Procedure: innervated sensate flap

Interventions

  • Procedureinnervated sensate flap

    sensory reconstruction via digital nerve repair with the donor nerve of the flap

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What researchers measure

Primary outcomes

  1. Static 2PD test

    We use a Disk-Criminator to test two nearby points when touching the flap. It is often tested with two sharp points during a neurological examination and is assumed to reflect how finely innervated an area of flap is.

    Time frame: 18 months to 24 months after surgery

  2. Pain sensation using the visual analogue scale

    Using the visual analogue scale (VAS) that consists of a 10 cm line, patients are asked to report pain sensations of the recipient site.

    Time frame: 18 months to 24 months after surgery

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Study locations

No study locations are listed for this record.

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References and documents

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 24675204 ↗

Individual participant data

Plan to share: Yes

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 1, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02695485
Lead sponsor
The Second Hospital of Tangshan
Responsible party
Sponsor
First posted
Mar 1, 2016
Start date
Feb 2006
Primary completion
Mar 2013
Completion
Oct 2015
Last update
Mar 1, 2016

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Feb 2016. You cannot join it, but the record below documents what was studied.

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