Comparison of Digit Pain Score Between Plastic and Stainless-steel Finger-trap Traction in Closed Reduction in Distal End Radius Fracture, Randomized Controlled trial
Article Sidebar
Main Article Content
Abstract
Purpose: The Chinese finger trap is a device used to aid in the reduction of fractures, especially in the distal end of radius fracture. The stainless-steel finger trap is widely used but often cause finger pain and expensive. We used a plastic finger trap to reduce pain and provide a lower cost alternative.
Study design: Randomized Control Trial
Methods: We prospective enrolled consecutive 26 patients between June 2023 and December 2023 who underwent closed reduction and immobilized with a short arm cast in Sangkha hospital. All patients were randomly assigned to stainless-steel finger trap using group and plastic finger trap using group. For each trial, patients lay supine on the bed, and the finger trap was attached to thumb, index and middle finger of patients, with the upper arm suspended by a plastic sheet loop. Weights were added by weight bag that suspended over the patient’s upper arm. From the 0th to 5th minutes, we used two kilograms of weight bag. From the 6th to 15th minutes, we used three kilograms of weight bag. Patients were completed visual analog scale (VAS) pain scoring questionnaires during finger traction with Chinese finger trap. After 24 hours after short arm casting, all patients will be asked for complications.
Results: From the use of finger traction devices, both plastic and stainless-steel, in 26 patients with closed distal end radius fractures, it was found that the group using plastic finger traction devices experienced less pain (mean 2.09, SD 1.66) compared to the group using stainless-steel devices (mean 4.01, SD 1.75) between minute 6 to 14. The use of plastic finger traps significantly reduces finger pain, with statistical significance (p-value <0.05). There were no reported complications in the plastic group. On the other hand, the stainless-steel group showed superficial skin injury around finger 24 hours after using the finger traction device in 2 patients.
Conclusion: The plastic finger traction device proves to be an effective alternative compared to the stainless-steel finger traction device, resulting in less pain
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Borisch N. [Arthroscopy of the proximal interphalangeal joint]. [Article in German]. Oper Orthop Traumatol 2017;29(4):353-9. doi: 10.1007/s00064-017-0506-8.
Ikumi A, Kohyama S, Okuwaki S, Tatsumura M, Hara Y, Mammoto T, et al. Effects of Magnetic Resonance Imaging With Axial Traction of the Thumb Carpometacarpal Joint on Articular Cartilage Visibility: A Feasibility Study. Cureus 2022;14(2):e22421. doi: 10.7759/cureus.22421.
Paterson P, Wolfe S, Palmer AK. Technique for Insertion of the Conventus Cage for Distal Radial Fracture Fixation. JBJS Essent Surg Tech 2017;7(3):e24. doi: 10.2106/JBJS.ST.17.00010
Bentohami A, Bosma J, Akkersdijk GJ, van Dijkman B, Goslings JC, Schep NW. Incidence and characteristics of distal radial fractures in an urban population in The Netherlands. Eur J Trauma Emerg Surg 2014;40(3):357-61. doi: 10.1007/s00068-014-0394-7.
Chung KC, Spilson SV. The frequency and epidemiology of hand and forearm fractures in the United States. J Hand Surg Am 2001;26(5):908-15. doi: 10.1053/jhsu.2001.26322.
Kamal RN, Shapiro LM. American Academy of Orthopaedic Surgeons/American Society for Surgery of the Hand Clinical Practice Guideline Summary Management of Distal Radius Fractures. J Am Acad Orthop Surg 2022;30(4):e480-e486. doi: 10.5435/JAAOS-D-21-00719.
Levin LS, Rozell JC, Pulos N. Distal Radius Fractures in the Elderly. J Am Acad Orthop Surg 2017;25(3):179-87. doi: 10.5435/JAAOS-D-15-00676.
Holkenborg J, Napel S-JT, Kolkman K. Closed Reduction Of Distal Radius Fractures: Is Finger Trap Traction Superior to Manual Traction? Ann Emerg Med 2013;62(4s):S66. DOI:https://doi.org/10.1016/j.annemergmed.2013.07.464
Laaksonen T, Stenroos A, Puhakka J, Kosola J, Kautiainen H, Rämö L, et al. Casting in finger trap traction without reduction versus closed reduction and percutaneous pin fixation of dorsally displaced, over-riding distal metaphyseal radius fractures in children under 11 years old: a study protocol of a randomised controlled trial. BMJ Open 2021;11(5):e045689. doi: 10.1136/bmjopen-2020-045689.
Rohman L, Love A, Michla Y. Finger Trap Traction and Distal Radius Fractures. Tech Orthop 2020;35(4):247-51. DOI: 10.1097/BTO.0000000000000347
Wise D, Coats T, Persad R. A traction jig for reduction of distal radial fractures. Injury 2004;35(1):65-7. doi: 10.1016/s0020-1383(03)00024-x.
Spurrier E, Pathak G, Khanna A. Pressure exerted by finger traps. J Perioper Pract 2011;21(4):140-1. doi: 10.1177/175045891102100405.
กฤษณะ ระดาพัฒน์. การพัฒนาอุปกรณ์ดึงนิ้วมือแบบ Wonder Finger Trap เพื่อช่วยในการจัดกระดูกผู้ที่ได้รับบาดเจ็บกระดูกแขนหักแบบปิด ในโรงพยาบาลยางตลาด อำเภอยางตลาด จังหวัดกาฬสินธุ์. วารสารการแพทย์โรงพยาบาลศรีษะเกษ สุรินทร์ บุรีรัมย์ 2563;35(3):699-707.
Thongtanworapat T, Suwanno P, Anuntaseree S. Comparison of Pain Scores between Bamboo and Stainless Steel Finger Traps: An Experimental Study. J Health Sci Med Res 2019;37(2):145-50. doi: 10.31584/jhsmr.201949
พลศักดิ์ จีระวิพูลวรรณ, บรรจงศรี จีระวิพูลวรรณ, บรรจง มไหสวริยะ. การศึกษาเปรียบเทียบการใช้งานเครื่องดึงนิ้วที่ทำด้วยใบลาน ไนลอน และลวดโลหะไม่เป็นสนิม. ศรีนครินทร์เวชสาร 2529;1(2):113-7.
งานห้องเฝือก ห้องผ่าตัด แผนกศัลยกรรมออร์โธปิดิกส์ โรงพยาบาลมหาราชนครศรีธรรมราช. นวัตกรรม : Jumpada Finger trap. มหาราชนครศรีธรรมราชเวชสาร 2560;1(1):103-9.
Fuller GW, Simmonite B. A simple alternative to Chinese finger traps for wrist fracture reduction. Ann R Coll Surg Engl 2019;101(2):134. doi: 10.1308/rcsann.2018.0124.
Charoenthamruksa C , Vechmamontien S. Comparison of Digit Pain between the Water Hyacinth Finger Trap and Steel Wire Finger Trap in Closed Reduction of Distal End Radius Fractures. J Med Assoc Thai 2022; 105 (1):9-12.
Haahr M. True Random Number Service. [Internet]. [Cited 2023 Dec 25]. Available from:URL:https://www.random.org/
Woranuch A, Pinyo T, Sangkomkamhang T. Effect of Hematoma Block Combined with Intravenous Diazepam versus Hematoma Block in Closed Colles’ Fracture. JRCOST 2019;43(3-4):3-7.
Myles PS, Myles DB, Galagher W, Boyd D, Chew C, MacDonald N, et al. Measuring acute postoperative pain using the visual analog scale: the minimal clinically important difference and patient acceptable symptom state. Br J Anaesth 2017;118(3):424-9. doi: 10.1093/bja/aew466.
