Volar Plate InjuryNCT07209605
Mini-anchor Versus Pull-out Suture for Surgical Management
A study testing Group A Pull-out Suture Technique and Group B- Mini-anchor Technique in people with Volar Plate Injury, run by Sohag University.
Trial summary
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 . Read more about this study
- Who is it for?
- Ages 18 to 55 years
- Conditions the study is for
- Volar Plate Injury
- What is being tested?
- Group A Pull-out Suture Technique and Group B- Mini-anchor Technique
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 12 participants
- Where
- No sites listed yet
- Study dates
- 1 Oct 2025to 1 Apr 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 to 55 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Patients aged 18-55 years.
- Both sexes.
- Isolated volar plate injury.
- Closed injuries.
- Willingness to participate and follow rehabilitation protocol.
Who cannot join
- Osteoprotic patients
- Associated neurovascular or tendon injuries.
- Open fractures or infections.
- Previous surgeries on the same finger.
- Inability to follow up.
About this study
Official title: Mini-anchor Versus Pull-out Suture for Surgical Management of Volar Plate Injuries
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
Read the 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.
- Conditions
- Volar Plate Injury
- Being tested
- Group A Pull-out Suture Technique, Group B- Mini-anchor Technique
- Keywords
- Mini-anchor versus Pull-out Suture for Surgical Management of Volar Plate Injuries
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Group A Pull-out Suture TechniqueProcedure or surgery
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 . .
Group B- Mini-anchor TechniqueProcedure or surgery
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.
| Study group | Role | What they receive |
|---|---|---|
| Group A - Pull-out Suture Technique | Active comparator | Not described Receives: Procedure: Group A Pull-out Suture Technique |
| Group B - Mini-anchor Technique | Active comparator | 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. Receives: Procedure: Group B- Mini-anchor Technique |
What is being measured
The primary outcome is the main question the study is designed to answer.
range of motion by geniometer
Measured: 6weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Oct 2025
- Study start1 Oct 2025 (estimated)
- Primary completion1 Apr 2026 (estimated)
- Study completion1 Apr 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Volar Plate InjuryStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- None (open label)
- Enrolment
- 12 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Sohag University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Ali Mohammed Ali Hammam, Sohag University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07209605
- Sponsor's protocol ID
- Soh-Med-25-9-19MS
- Status last verified
- Sep 2025
- First submitted
- 29 Sep 2025
- Last updated
- 7 Oct 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 7 Oct 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Mini-anchor Versus Pull-out Suture for Surgical Management of Volar Plate Injuries
- ClinicalTrials.gov ID
- NCT07209605
- Acronym / sponsor ID
- Soh-Med-25-9-19MS
- Conditions
- Volar Plate Injury
- Keywords
- Mini-anchor versus Pull-out Suture for Surgical Management of Volar Plate Injuries
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 12 participants (estimated)
- Lead sponsor
- Sohag UniversityUniversity, hospital or other
- Study start
- 1 Oct 2025 (estimated)
- Primary completion
- 1 Apr 2026 (estimated)
- Study completion
- 1 Apr 2026 (estimated)
- First posted
- 7 Oct 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Group A - Pull-out Suture Technique | Active comparator | Procedure: Group A Pull-out Suture Technique |
| Group B - Mini-anchor Technique | Active comparator | Procedure: Group B- Mini-anchor TechniqueUsing 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. |
Who may qualify
- Ages
- 18 to 55 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (5 listed)
- Patients aged 18-55 years.
- Both sexes.
- Isolated volar plate injury.
- Closed injuries.
- Willingness to participate and follow rehabilitation protocol.
Key exclusion criteria (5 listed)
- Osteoprotic patients
- Associated neurovascular or tendon injuries.
- Open fractures or infections.
- Previous surgeries on the same finger.
- Inability to follow up.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Group A Pull-out Suture TechniqueA 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 or surgery | Group A - Pull-out Suture Technique |
| Group B- Mini-anchor TechniqueUsing 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. | Procedure or surgery | Group B - Mini-anchor Technique |
Primary outcome
range of motion by geniometer
Time frame: 6weeks
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Oct 2025.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
The record lists no contact. Use the official record to reach the sponsor.
Questions about this trial
What is this clinical trial studying?
A study testing Group A Pull-out Suture Technique and Group B- Mini-anchor Technique in people with Volar Plate Injury, run by Sohag University.
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 5 inclusion and 5 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: opening soon, as of the sponsor's last update on 7 Oct 2025. Status can change between updates, so confirm with the study contact before making plans.
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?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
range of motion by geniometer (time frame: 6weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 7 Oct 2025.