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Contact the study team using the details below to take part. If there are no contact details below please ask your doctor in the first instance.

Contact Information:

Dr SITU-NDORMS Team
+44 (0)1865 227715
situ@ndorms.ox.ac.uk


More information about this study, what is involved and how to take part can be found on the study website.

Study Location:

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Be Part of Research - Trial Details - Nail bed INJury Analysis (NINJA)

Nail bed INJury Analysis (NINJA)

Medical Conditions

Nail bed injuries


This information is provided directly by researchers, and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information. In some summaries, you may come across links to external websites. These websites will have more information to help you better understand the study.


Nail bed injuries are the most common hand injury in children in the UK. Treatment usually involves surgical repair of a laceration located underneath the fingernail. To do this the fingernail is removed, the laceration repaired, and the fingernail can be replaced or discarded. Historically the nail was replaced routinely but recent evidence indicates not replacing the nail may reduce the incidence of infection and complications after surgery. The aim of this study is to compare replacing the nail to the alternative practice of discarding (not replacing) the nail as part of the surgical nail bed repair for the treatment of nail bed injuries.

Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.  

The recruitment start and end dates are as follows:

06 Jul 2018 01 Jul 2019

Publications

2019 Protocol article in https://pubmed.ncbi.nlm.nih.gov/31806610/ protocol (added 22/10/2020)2023 Results article in https://doi.org/10.1093/bjs/znad031 (added 23/03/2023)2023 Results article in https://pubmed.ncbi.nlm.nih.gov/37068916/ cost-effectiveness (added 08/07/2024)

Participants are randomly allocated to have their nail plate replaced or discarded. The cosmetic appearance of the fingernail is assessed at the final follow-up (a minimum of four months up to 12 months) and the incidence of infection is assessed after 4 months.


Patients aged under 16 years with a nail bed injury

You can take part if:



You may not be able to take part if:


1. Patients who present with an already infected nail bed injury2. Patients with underlying nail disease or deformity in the injured or contralateral finger prior to the injury3. Patients with an associated distal phalanx fracture requiring fixation with a Kirschner wire4. Patients with complete amputation of the distal fingertip including all or part of the nail bed5. Patients with loss of part or all of the nail bed, requiring a nail bed graft or flap reconstruction6. Previous NINJA trial participant (assessed at baseline)7. Multiple nail bed injuries


Below are the locations for where you can take part in the trial. Please note that not all sites may be open.

  • Salisbury District Hospital
    Salisbury
    SP2 8BJ
  • John Radcliffe Hospital
    Headley Way Headington
    Oxford
    OX3 9DU
  • Hull Royal Infirmary
    Anlaby Road
    Hull
    HU3 2JZ
  • The James Cook University Hospital
    Marton Road
    Middlesbrough
    TS4 3BW
  • Lister Hospital
    Coreys Mill Lane
    Stevenage
    SG1 4AB
  • University Hospital of Wales
    Heath Park Way
    Cardiff
    CF14 4XW
  • Royal Cornwall Hospital
    Truro
    TR1 3LQ
  • Stoke Mandeville Hospital
    Mandeville Road
    Aylesbury
    HP21 8AL
  • Royal Derby Hospital
    Derby
    DE22 3NE
  • Peterborough City Hospital
    Edith Cavell Campus Bretton Gate
    Peterborough
    PE3 9GZ
  • Broomfield Hospital
    Court Road Broomfield
    Chelmsford
    CM1 7ET
  • Queen Victoria Hospital
    Holtye Rd
    East Grinstead
    RH19 3DZ
  • Leeds General Infirmary
    Great George St
    Leeds
    LS1 3EX
  • St George's Hospital
    Blackshaw Rd
    London
    SW17 0QT
  • Royal Manchester Children’s Hospital
    Oxford Road
    Manchester
    M13 9WL
  • Royal Hospital for Sick Children
    9 Sciennes Road
    Edinburgh
    EH9 1LF
  • Evelina London Children’s Hospital (lead centre)
    Westminster Bridge Road Lambeth
    London
    SE1 7EH
  • Chelsea and Westminster Hospital
    369 Fulham Rd Chelsea
    London
    SW10 9NH
  • The Ulster Hospital
    Upper Newtownards Road Dundonald
    Belfast
    BT16 1RH
  • Wexham Park Hospital
    Slough
    SL2 4HL

It cannot be guaranteed that a child will get any direct benefit from taking part in this study. However, participating may lead to better care and outcomes after surgery in patients with nail bed injuries in the future. The surgery that a child will receive is the same whether they take part in the study or not. Parents/guardians will be asked to complete some short questionnaires (15-20 minutes) and submit a photograph in addition to any clinical treatment their child receives.

Dr SITU-NDORMS Team
+44 (0)1865 227715
situ@ndorms.ox.ac.uk



More information about this study, what is involved and how to take part can be found on the study website.


The study is sponsored by University of Oxford and funded by NIHR Central Commissioning Facility (CCF); Grant Codes: PB-PG-1215-20041.




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Read full details for Trial ID: ISRCTN44551796

Or CPMS 35666

Last updated 27 November 2024

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