[x_section parallax=”true” bg_image=”https://reconstructivesurgerytrials.net/wp-content/uploads/2015/11/xray-mallet-e1447361855740.jpg” bg_color=”” style=”margin: 0px 0px 0px 0px; padding: 45px 0px 45px 0px; “][x_row inner_container=”true” marginless_columns=”false” bg_color=”” style=”margin: 0px auto 0px auto; padding: 0px 0px 0px 0px; “][x_column bg_color=”” type=”1/1″ style=”padding: 0px 0px 0px 0px; “][x_gap size=”150px”][/x_column][/x_row][/x_section][x_section style=”margin: 0px 0px 0px 0px; padding: 0px 0px 0px 0px; “][x_row inner_container=”true” marginless_columns=”false” bg_color=”” style=”margin: 0px auto 0px auto; padding: 0px 0px 0px 0px; “][x_column bg_color=”#ffffff” type=”2/3″ class=”left-text ” style=”padding: 0px 0px 0px 0px; “][x_gap size=”20px”][x_custom_headline level=”h2″ looks_like=”h3″ accent=”false”]MALIT[/x_custom_headline][x_alert type=”success” close=”false” heading=”MALIT results published”]The MALIT survey results have been published. The decision was taken not to continue the study as a trial was not feasible.[/x_alert][x_text]Soft tissue and bony mallet injuries are extremely common. Fracture or tendon disruption leads to loss of extension of the distal interphalangeal joint, pain and sometimes permanent disability. The majority of mallet injuries are treated with splints. There is no consensus as to the optimum duration of splintage which ranges between 4 and 12 weeks.
 
Recent evidence has shown uncertainty about the incidence of injuries, current practice and treatment policies (2004; 2015). This calls for well designed and conducted trials in mallet injury.
 
We have been funded by the British Society for Surgery of the Hand (BSSH), the University of Bristol, and the British Association of Plastic Reconstructive and Aesthetic Surgeons (BAPRAS) to undertake feasibility work to inform the design of a trial in mallet injury. This work will establish how to assess patient adherence with splints and outcome assessment. We will establish outcomes of importance to patients, surgeons and hand therapists.

The first step is a clinician survey, which is now underway. Links to the survey will be sent to RSTN, BSSH and BAPRAS members that might treat this condition.
[/x_text][/x_column][x_column bg_color=”” type=”1/3″ style=”padding: 0px 0px 0px 0px; “][x_gap size=”20px”][x_accordion][x_accordion_item title=”Status” open=”true”][icon_list] [icon_list_item type=”check-square-o”]Clinician survey [/icon_list_item][icon_list_item type=”check-square-o”]Protocol development [/icon_list_item] [icon_list_item type=”check-square-o”]NRES approval [/icon_list_item][icon_list_item type=”check-square-o”]Data collection [/icon_list_item] [icon_list_item type=”check-square-o”]Data analysis[/icon_list_item] [icon_list_item type=”check-square-o”]Manuscript submission [/icon_list_item][icon_list_item type=”check-square-o”]Publication [/icon_list_item][/icon_list] [/x_accordion_item][x_accordion_item title=”Steering group” open=”false”]James Henderson
Bristol

Abhilash Jain
Oxford

Jane Blazeby
Bristol

Shelley Potter
Bristol

Zoe Tolkein
Bristol[/x_accordion_item][x_accordion_item title=”Collaborators” open=”false”]N/A[/x_accordion_item][x_accordion_item title=”Trials Unit” open=”false”]Bristol Surgical Trials Centre[/x_accordion_item][x_accordion_item title=”Funding” open=”false”]BSSH
BAPRAS
University of Bristol[/x_accordion_item][x_accordion_item title=”Downloads” open=”false”]Tolkien Z, Potter S, Burr N, Gardiner MD, Blazeby JM, Jain A, Henderson J. Conservative management of mallet injuries:  A national survey of current practice in the UK. J Plast Reconstr Aesthet Surg. 2017 Jul;70(7):901-907. doi: 10.1016/j.bjps.2017.04.009. PMID: 28511813.[/x_accordion_item][x_accordion_item title=”Contact” open=”true”]rstnteam@gmail.com[/x_accordion_item][/x_accordion][/x_column][/x_row][/x_section]