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Non-contact Low Frequency UltrasoundNCT06813430

Non-Contact Low-Frequency Ultrasound Vs Standard LaLonde Protocol for Fingertip Injury Wound Healing

A study testing Non-contact Low Frequency Ultrasound in people with Non-contact Low Frequency Ultrasound and Lalonde Protocol, run by St. Luke's Hospital, Pennsylvania at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The goal of this clinical trial is to compare the efficacy of non-contact low frequency ultrasound in populations sustaining fingertip amputations. The main question it aims to answer is: Does non-contact low frequency ultrasound significantly improve patient outcomes in patients sustaining acute fingertip… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Non-contact Low Frequency Ultrasound
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
22 participants
Where
1 siteUnited States
Study dates
10 Feb 2025to Feb 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Individuals aged 18 years or older with an acute traumatic fingertip amputation without exposed bone or tendons (Allen 1, Tamai level 1; ICD-10 codes S68.5 and S68.6).

Who cannot join

  • Patients less than 18 years old,
  • Injuries involving exposed bone
  • Those with diagnosis of vascular disease
  • Individuals with clinical suspicion or diagnosis of infection
  • Unable to comply with prescribed therapy sessions
  • Patients undergoing primary closure or surgical intervention
  • Patients experiencing subsequent trauma following treatment initiation

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Kristofer Matullo, MD contact

484-526-1735

Kristofer.Matullo@sluhn.org

Douglas Lundy, MD contact

douglas.lundy@sluhn.org

United States1 site, 1 recruiting
  • St. Luke's University Health Network

    Bethlehem, Pennsylvania, 18015

    Kristofer Matullo, MD, 484-526-1735, Kristofer.Matullo@sluhn.org

    Kristofer Matullo, MD

    Recruiting

Other trials in United States

About this study

Official title: Enhancing Healing With Non-Contact Low-Frequency Ultrasound in Fingertip Amputation Treatment: A Prospective Comparative Cohort Study

The goal of this clinical trial is to compare the efficacy of non-contact low frequency ultrasound in populations sustaining fingertip amputations. The main question it aims to answer is:

  • Does non-contact low frequency ultrasound significantly improve patient outcomes in patients sustaining acute fingertip amputations?

Researchers will compare non-contact low frequency ultrasound to a standard Lalonde protocol to answer this questions.

Participants will be randomized one of the two study arms and evaluated by wound care therapy. They will receive cohort appropriate therapy sessions 2-3 times per week with measurement of wound size once per week.

Read the detailed description

Fingertip injuries rank among the most prevalent hand injuries, leading to nearly 5 million emergency department visits annually. Particularly common among adults, are lacerations, crush injuries, and avulsions affecting the thumb, index finger, and middle finger. As fingertip amputations encompass a diverse range of injuries involving soft tissue, bone, and/or nail, there is no singular recommended treatment as the standard of care. Instead, treatment is tailored to the individual patient, aiming to minimize pain, optimize healing, preserve sensory and motor function, and maintain an aesthetically acceptable appearance.

Possible treatment options for fingertip amputations without exposure of the distal phalanx include primary closure, healing by secondary intention, completion/revision amputation, full-thickness skin grafting, and split-thickness skin grafting, or flap coverage. However, when soft tissue allows, primary closure or healing by secondary intention have demonstrate positive and reliable outcomes.

New technologies, such as non-contact low-frequency ultrasound (NCLF-US), continue to be introduced to support healing of acute and chronic injuries to improve patient outcomes. While a moderate amount of research exists demonstrating safety and efficacy of NCLF-US in expediting the healing of chronic wounds, there is limited research on its efficacy in the treatment of acute injuries.

Given the significance of optimizing healing, especially in a population predominantly composed of young men engaged in manual labor, it is reasonable to wonder about the efficacy of NCLF-US in the treatment of fingertip amputations without exposed bone managed through secondary intention. This study aimed to compare the efficacy of NCLF-US in combination with standard treatment for secondary healing versus the standard treatment alone.

Being tested
Non-contact Low Frequency Ultrasound, Lalonde Protocol (standard of care)
Keywords
non-contact low frequency ultrasound, Lalonde protocol, fingertip amputation

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Non-contact Low Frequency UltrasoundDevice

    NCLF-US therapy involves delivering low-frequency (40 kHz), low-intensity (0.1-0.8 W/cm2) ultrasound energy via sterile water mist.

  • Lalonde Protocol (standard of care)Other

    Standard of care local wound therapy using the Lalonde protocol - rinsing the site with clean water, applying a grease layer, wrapping with a one-inch gauze wrap, and securing with Coban tape.

Study groups in NCT06813430
Study groupRoleWhat they receive
Non-Contact Low Frequency UltrasoundExperimentalLalonde therapy and non-contact low-frequency (UltraMIST) therapy - NCLF-US therapy involves delivering low-frequency (40 kHz), low-intensity (0.1-0.8 W/cm2) ultrasound energy via sterile water mist.
Receives: Device: Non-contact Low Frequency Ultrasound; Other: Lalonde Protocol (standard of care)
Lalonde ProtocolActive comparatorStandard of care local wound therapy using the Lalonde protocol - rinsing the site with clean water, applying a grease layer, wrapping with a one-inch gauze wrap, and securing with Coban tape.
Receives: Other: Lalonde Protocol (standard of care)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Wound Dimensions (mm2)

    Would dimensions will be measured in two dimensions using a ruler and recorded.

    Measured: Assessed weekly. From date of randomization through study completion (an average of 8 weeks)

  2. Time to Healing (days)

    Time to healing will be determined in days from randomization through study completion. This will vary between groups, but is expected to be complete by 8 weeks for all patients.

    Measured: From randomization through study completion (an average of 8 weeks)

Secondary outcomes (7)
  1. Subjective Pain (Visual Analog Scale)

    The Visual Analog Scale, or VAS, will be used to measure subjective pain. Patients will report subjective pain on a scale of 1-10 with 10 indicating worse pain.

    Measured: Assessed weekly. From randomization through study completion (an average of 8 weeks)

  2. 2 point discrimination (mm)

    Calipers will be used to determine patient 2-point discrimination status. A healthy patient is able to report discrimination between two points at 2-8mm at the fingertips. Larger values indicate worsening discrimination between two points and indicate worsening neurologic status.

    Measured: Assessed weekly. From randomization through study completion (an average of 8 weeks)

  3. Semmes Weinstein (Monofilament Sensitivity Test)

    A monofilament will be used to determine sensory status in the affected finger. Patients report yes or no when asked if they can sense the monofilament.

    Measured: Assessed weekly. From randomization through study completion (an average of 8 weeks)

  4. Grip Strength (lbs)

    A handgrip dynamometer will be used to determine the handgrip strength for patients in lbs. Larger numbers indicate increased strength.

    Measured: Assessed weekly. From randomization through study completion (an average of 8 weeks)

  5. Pinch Strength (lbs)

    A pinch dynamometer will be used to determine the pinch strength for patients in lbs. Larger numbers indicate increased strength.

    Measured: Assessed weekly. From randomization through study completion (an average of 8 weeks)

  6. Number of Visits (n)

    The number of visits the patient attends will be recorded. It is expected that patient enrollment in the study will be complete by an average of 8 weeks.

    Measured: From randomization through study completion (an average of 8 weeks)

  7. Functional Scores (Quick Disabilities of Arm, Shoulder, Hand)

    The Quick Disabilities of Arm, Shoulder, Hand (QuickDASH), a validating instrument, will be used to assess patient functional status. Scores range from 0-100. Higher scores indicate worse functional status.

    Measured: Assessed weekly. From randomization through study completion (an average of 8 weeks)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Feb 2025
  2. Study start10 Feb 2025
  3. Primary completionFeb 2026 (estimated)
  4. Study completionFeb 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Care provider, Investigator
Enrolment
22 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06813430
Sponsor's protocol ID
FY2025-115
Status last verified
May 2025
First submitted
31 Jan 2025
Last updated
15 May 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
Yes: In order to comply with the Health Insurance Portability and Accountability Act (HIPPA) as well as local/institutional regulations, only deidentified data can be provided from the primary investigator upon reasonable request. Independent review of the deidentified data to verify its accuracy will be permitted after article publication.

Publications

  • Yao M, Hasturk H, Kantarci A, Gu G, Garcia-Lavin S, Fabbi M, Park N, Hayashi H, Attala K, French MA, Driver VR. A pilot study evaluating non-contact low-frequency ultrasound and underlying molecular mechanism on diabetic foot ulcers. Int Wound J. 2014 Dec;11(6):586-93. doi: 10.1111/iwj.12005. Epub 2012 Nov 19.

    PubMed 23163982
  • Kavros SJ, Schenck EC. Use of noncontact low-frequency ultrasound in the treatment of chronic foot and leg ulcerations: a 51-patient analysis. J Am Podiatr Med Assoc. 2007 Mar-Apr;97(2):95-101. doi: 10.7547/0970095.

    PubMed 17369314
  • Kavros SJ, Miller JL, Hanna SW. Treatment of ischemic wounds with noncontact, low-frequency ultrasound: the Mayo clinic experience, 2004-2006. Adv Skin Wound Care. 2007 Apr;20(4):221-6. doi: 10.1097/01.ASW.0000266660.88900.38.

    PubMed 17415030
  • Driver VR, Yao M, Miller CJ. Noncontact low-frequency ultrasound therapy in the treatment of chronic wounds: a meta-analysis. Wound Repair Regen. 2011 Jul-Aug;19(4):475-80. doi: 10.1111/j.1524-475X.2011.00701.x. Epub 2011 Jun 7.

    PubMed 21649783
  • Escandon J, Vivas AC, Perez R, Kirsner R, Davis S. A prospective pilot study of ultrasound therapy effectiveness in refractory venous leg ulcers. Int Wound J. 2012 Oct;9(5):570-8. doi: 10.1111/j.1742-481X.2011.00921.x. Epub 2012 Feb 1.

    PubMed 22296347
  • Olyaie M, Rad FS, Elahifar MA, Garkaz A, Mahsa G. High-frequency and noncontact low-frequency ultrasound therapy for venous leg ulcer treatment: a randomized, controlled study. Ostomy Wound Manage. 2013 Aug;59(8):14-20.

    PubMed 23934374
  • Kavros SJ, Liedl DA, Boon AJ, Miller JL, Hobbs JA, Andrews KL. Expedited wound healing with noncontact, low-frequency ultrasound therapy in chronic wounds: a retrospective analysis. Adv Skin Wound Care. 2008 Sep;21(9):416-23. doi: 10.1097/01.ASW.0000323546.04734.31.

    PubMed 18769168
  • Ennis WJ, Valdes W, Gainer M, Meneses P. Evaluation of clinical effectiveness of MIST ultrasound therapy for the healing of chronic wounds. Adv Skin Wound Care. 2006 Oct;19(8):437-46. doi: 10.1097/00129334-200610000-00011.

    PubMed 17008814
  • Ennis WJ, Foremann P, Mozen N, Massey J, Conner-Kerr T, Meneses P. Ultrasound therapy for recalcitrant diabetic foot ulcers: results of a randomized, double-blind, controlled, multicenter study. Ostomy Wound Manage. 2005 Aug;51(8):24-39.

    PubMed 16234574
  • Lee LP, Lau PY, Chan CW. A simple and efficient treatment for fingertip injuries. J Hand Surg Br. 1995 Feb;20(1):63-71. doi: 10.1016/s0266-7681(05)80019-1.

    PubMed 7759939
  • Mennen U, Wiese A. Fingertip injuries management with semi-occlusive dressing. J Hand Surg Br. 1993 Aug;18(4):416-22. doi: 10.1016/0266-7681(93)90139-7.

    PubMed 8409649
  • Lee DH, Mignemi ME, Crosby SN. Fingertip injuries: an update on management. J Am Acad Orthop Surg. 2013 Dec;21(12):756-66. doi: 10.5435/JAAOS-21-12-756.

    PubMed 24292932
  • Peterson SL, Peterson EL, Wheatley MJ. Management of fingertip amputations. J Hand Surg Am. 2014 Oct;39(10):2093-101. doi: 10.1016/j.jhsa.2014.04.025.

    PubMed 25257490
  • Sorock GS, Lombardi DA, Hauser RB, Eisen EA, Herrick RF, Mittleman MA. Acute traumatic occupational hand injuries: type, location, and severity. J Occup Environ Med. 2002 Apr;44(4):345-51. doi: 10.1097/00043764-200204000-00015.

    PubMed 11977421

Questions about this trial

What is this clinical trial studying?

A study testing Non-contact Low Frequency Ultrasound in people with Non-contact Low Frequency Ultrasound and Lalonde Protocol, run by St. Luke's Hospital, Pennsylvania at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 15 May 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Kristofer Matullo, MD (484-526-1735, Kristofer.Matullo@sluhn.org), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Wound Dimensions (mm2) (time frame: Assessed weekly. From date of randomization through study completion (an average of 8 weeks)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06813430, which also lists 14 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 May 2025.

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