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Not yet recruiting NCT07209605

Mini-anchor Versus Pull-out Suture for Surgical Management

No phase Interventional Volar Plate Injury

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: Group A Pull-out Suture Technique, Group B- Mini-anchor Technique.
Who it may be relevant to
Registry conditions: Volar Plate Injury. Basic parameters: 18 years — 55 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
Center list to be confirmed — check the primary protocol.
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

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Official title

Mini-anchor Versus Pull-out Suture for Surgical Management of Volar Plate Injuries

Overview

Volar plate injuries of the joint are among the most common traumatic lesions in the hand. These injuries result from hyperextension trauma, leading to volar plate avulsion, often accompanied by collateral ligament injuries or fractures of the volar plate Conventional repair techniques include pull-out . Although widely used, pull-out sutures are associated with specific complications such as skin irritation. The external suture may also interfere with early mobilization, a key factor for good postoperative outcomes (3). Suture anchors have emerged as a modern alternative, offering internal fixation without the need for pull out sutures. Their application is believed to promote faster recovery, minimize soft tissue irritation, and early mobilization

Detailed description

Volar plate injuries of the joint are among the most common traumatic lesions in the hand. These injuries result from hyperextension trauma, leading to volar plate avulsion, often accompanied by collateral ligament injuries or fractures of the volar plate Conventional repair techniques include pull-out . Although widely used, pull-out sutures are associated with specific complications such as skin irritation. The external suture may also interfere with early mobilization, a key factor for good postoperative outcomes (3).

Suture anchors have emerged as a modern alternative, offering internal fixation without the need for pull out sutures. Their application is believed to promote faster recovery, minimize soft tissue irritation, and early mobilization Aim of the Work The aim of this study is to compare the clinical and functional outcomes of mini-anchor versus pull-out suture techniques in surgical management of volar plate injuries of the PIP joint.

-Place of the study: Sohag University Hospitals after approval from the institutional ethical committee.

-Type of the study: A prospective randomized clinical trial.

* Study period:

From 1/10/2025 to 1/4/2026……………

\- Patients:

This study will be conducted on patients with volar plate injuries of the PIP joint. An online randomization program (http://www.randomizer.org) will be used to generate a random list and each patients' code will be kept in an opaque sealed envelope. Patients will be randomly allocated with 1:1 allocation ratio into two groups in a parallel manner:

* Group A: Patients will be managed using the modified pull-out suture technique. * Group B: Patients will undergo repair using mini suture anchors.

\- Inclusion Criteria: * Patients aged 18-55 years. * Both sexes. * Isolated volar plate injury. * Closed injuries. * Injury duration \< 7 days. * Willingness to participate and follow rehabilitation protocol.

\- Exclusion Criteria: * Osteoprotic patients * Associated neurovascular or tendon injuries. * Open fractures or infections. * Previous surgeries on the same finger. * Inability to follow up.

Interventions

  • Procedure Group A Pull-out Suture Technique
    A Brunner volar incision will be made, and the volar plate avulsion fragment will be identified. A 2-0 nonabsorbable braided suture will be passed through the volar plate using Kessler pattern, and Keith needles will be used to exit the sutures dorsally . .
  • Procedure Group B- Mini-anchor Technique
    Using the same volar approach, the volar plate will be reattached with two Mitek Micro QuickAnchors (1.3 x 3.7 mm), placed at the distal phalanx. Anchors will be inserted under fluoroscopic guidance to avoid dorsal cortex penetration. A hemimodified Kessler stitch pattern will be used with 3-0 polyester sutures.

Primary outcome measures

  • range of motion by geniometer [Time frame: 6weeks]

Eligibility criteria

Inclusion Criteria::

  • Patients aged 18-55 years.
  • Both sexes.
  • Isolated volar plate injury.
  • Closed injuries.
  • Willingness to participate and follow rehabilitation protocol.

Exclusion criteria

  • Osteoprotic patients
  • Associated neurovascular or tendon injuries.
  • Open fractures or infections.
  • Previous surgeries on the same finger.
  • Inability to follow up.

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
Randomized
Model
Parallel assignment
Masking
Open label
Primary purpose
Treatment

Study locations

Center list to be confirmed — check the primary protocol.

Identifiers

NCT: NCT07209605 · Soh-Med-25-9-19MS

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗