Buddy taping after reduction of displaced extra-articular phalangeal finger fractures in children: a randomized controlled trial.

Daniel M Weber, Christian Luckert, Markus Kalisch, Ulrike Subotic, Robert Weil, Michelle Seiler
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Abstract

In this randomized controlled trial, we assessed the non-inferiority of buddy taping to splinting after reduction of displaced extra-articular proximal and middle phalangeal finger fractures in children. The primary outcome was the rate of secondary fracture displacements; the secondary outcomes were patient comfort, analgesic efficacy and total range of active motion 6 months after injury. Eighty-one patients participated: 43 with taping and 38 with splinting. Secondary displacement occurred in eight patients: five in the splinting group and three in the taping group. Risk difference was below the predefined non-inferiority of 10%. Patient comfort was significantly higher in the taping group, with no group differences for other parameters. Our previous study recommended taping for undisplaced finger fractures in children. With the current data, we recommend taping these finger fractures irrespective of displacement or need for reduction. We are encouraged to propose taping as an alternative to splinting for increased patient comfort, lower cost, and shorter application time.Level of evidence: I.

儿童手指关节外移位性指骨骨折复位后的伙伴绑带:随机对照试验。
在这项随机对照试验中,我们评估了在对儿童关节外移位的近节和中节指骨骨折进行复位后,伙伴绑带与夹板的非劣效性。主要结果是二次骨折移位率;次要结果是患者的舒适度、镇痛效果和伤后 6 个月的总活动范围。共有 81 名患者参与:其中 43 人使用了绑带,38 人使用了夹板。8名患者发生了二次移位:夹板组5人,绑带组3人。风险差异低于 10%的非劣效性预设值。绑扎组患者的舒适度明显更高,其他参数没有组间差异。我们之前的研究建议对儿童手指无错位骨折进行绑带治疗。根据目前的数据,我们建议对这些手指骨折进行绑带治疗,无论是否有移位或是否需要复位。我们建议将绑带疗法作为夹板疗法的替代方法,以提高患者的舒适度、降低成本并缩短应用时间:I.
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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