Symptoms and General Pathology

All Conditions

Musculoskeletal Diseases

Nervous System Diseases

Wounds and Injuries

Neoplasms

Skin and Connective Tissue Diseases

Diseases and Abnormalities at or Before Birth

Rare Diseases

Syndrome

Contracture

Carpal Tunnel Syndrome

Trigger Finger Disorder

Cysts

Ganglion Cysts

Synovial Cyst

Dupuytren Contracture

Median Neuropathy

Mononeuropathies

Peripheral Nervous System Diseases

Neuromuscular Diseases

Nerve Compression Syndromes

Charcot-Marie-Tooth Disease

Hereditary Sensory and Motor Neuropathy

Cumulative Trauma Disorders

Sprains and Strains

Mucinoses

Connective Tissue Diseases

Joint Diseases

Muscular Diseases

Tendon Entrapment

Tendinopathy

Fibroma

Neoplasms, Fibrous Tissue

Neoplasms, Connective Tissue

Neoplasms, Connective and Soft Tissue

Neoplasms by Histologic Type

Hereditary Motor and Sensory Neuropathy

Hereditary Neuropathy With Liability to Pressure Palsies

Roussy Levy Syndrome

In this group interrupted simple or horizontal mattress skin sutures are used for wound closure per surgeon preference. Standardized wound care instructions will be given to all patients. Those who received absorbable Chromic sutures are treated recording to the standard protocol and they are advised that they can start to gently rub the scab and suture line to encourage the sutures to fall off starting 10-14 days postoperatively.

Absorbable Chromic gut sutures

In this group interrupted simple or horizontal mattress skin sutures are used for wound closure per surgeon preference. Standardized wound care instructions will be given to all patients. Those who received Nylon sutures are treated recording to the standard protocol and sutures are removed after the usual time (10-14 days) of the received procedure.

Non-absorbable Nylon sutures

David Ring, MD PhD

This study aims to assess the relationship between overall satisfaction with treatment in a group of randomized patients undergoing elective hand surgery using either absorbable (4-0 Chromic) or non-absorbable (5-0 Nylon) sutures. The investigators will also assess factors associated with wound concerns, pain intensity, magnitude of limitations, and physical function within one month of surgery.

Both patient and surgeon will be blinded until just before the start of the procedure.

Different Sutures in Hand Surgery

A Randomized Controlled Trial: Nylon Versus Chromic Sutures in Hand Surgery

The scale ranges from 0 to 10, with higher scores representing higher treatment satisfaction.

Factors will include patient demographic factors such as age, sex, race/ethnicity, level of education. Wound concerns will be assessed by number of contacts with questions for wound concerns.

Factors will include patient demographic factors such as age, sex, race/ethnicity, level of education. The scale ranges from 0 to 10, with higher scores representing higher pain intensity.

Factors will include patient demographic factors such as age, sex, race/ethnicity, level of education. PROMIS-UE PF scores are reported as T-scores with a mean of 50 and SD of 10, with higher scores representing higher levels of physical function.

Factors will include patient demographic factors such as age, sex, race/ethnicity, level of education. The scale ranges from 0 to 10, with higher scores representing higher scar satisfaction.

he scale ranges from 0 to 10, with higher scores representing higher treatment satisfaction.

University of Texas at Austin

Associate Dean for Comprehensive Care. Professor of Surgery and Psychiatry

Fractures, Bone

Radius Fractures

Wrist Fractures

Forearm Injuries

Arm Injuries

Wrist Injuries

All patients will be given information about a mobile app to use during the recovery period to assist with hand therapy activities

a mobile app that demonstrates hand therapy exercises

Mobile App

Robin N Kamal, MD

Patients will be asked to use a mobile phone app to conduct their hand therapy after having hand surgery.

Patients who are undergoing the included procedures will be informed of the study \& consented. They will be given information on how to download the app \& input their surgery date. The app will guide the patient through various hand therapy exercises and ask them to record their QuickDASH, PSFS and VAS Pain weekly.

Alternatives to Hand Therapy for Hand Surgery Patients

The QD is a short form of the DASH, which measures disability of the arm, shoulder and hand. it is scored 0-100, with higher scores indicating higher disability

the PSFS is a validated measure of disability, that is scored on a 0-10 scale with lower scored indicating higher disability.

VAS pain is a validated measure of pain, scored 0-10, with higher scores indicating higher pain

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization
Different Sutures in Hand Surgery	NCT03407820	All Minor Hand ... Carpal Tunnel S... Trigger Finger Ganglion Cysts De Quervain Syn... Dupuytren Contr...	Absorbable Chro... Non-absorbable ...	18 Years - 89 Years	University of Texas at Austin
Different Sutures in Hand Surgery	NCT03407820	All Minor Hand ... Carpal Tunnel S... Trigger Finger Ganglion Cysts De Quervain Syn... Dupuytren Contr...	Absorbable Chro... Non-absorbable ...	18 Years - 89 Years	University of Texas at Austin
Alternatives to Hand Therapy for Hand Surgery Patients	NCT03779958	Carpal Tunnel S... Trigger Finger Ganglion Cysts Distal Radius F... Finger Fracture De Quervain Syn...	Mobile App	18 Years - 100 Years	Stanford University
Alternatives to Hand Therapy for Hand Surgery Patients	NCT03779958	Carpal Tunnel S... Trigger Finger Ganglion Cysts Distal Radius F... Finger Fracture De Quervain Syn...	Mobile App	18 Years - 100 Years	Stanford University

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