Project title Nail Bed Injury Analysis –Pilot (NINJA-P)

Grant Holder: Prof Abhilash Jain

Position: Associate Professor Plastic and Hand Surgery

University of Oxford and Imperial College NHS Trust London

Date of award

May 13^th 2014

Date of report

23^rd Sept 2016

Grant Awarded (i.e. £10,000)

£27,000

Is this an interim, or final, report

Interim

Summary of progress /findings (approx 300 words)

The BSSH award has allowed us to undertake background feasibility work and a small pilot into whether the nail should be replaced or discarded in children undergoing nail bed repair. This allowed successful completion of a 4 site RCT recruiting 60 children in just 4 months. This study was on the NIHR portfolio.  The work led to the submission of an NIHR RfPB grant for a multicentre RCT on this topic*. 

*Update - This submission was successful and NIHR has been awarded £350,000 for this study which will involve BSSH members throughout the UK.  

What is the relevance/value of this research to hand surgery

This study has demonstrated that hand surgeons are coordinated and can recruit large patient numbers to target. It has tested the RSTN network nationally. It has resulted in over 20 new young surgeons being involved in research and 4 new Principle Investigators. Over 100 trainees have received GCP training on the back of this work. It has demonstrated national variation in the management of the commonest traumatic paediatric hand injury in the UK and provided an evidence base for management.

If final report, please provide bullet point list of conclusions/important findings

Please list presentations based on work performed in this study

• Gardiner M, Jain A, Sierakowski A, Grieg, A. Nail bed INJury Analysis (NINJA): results of a National Survey of Nail Bed Repair Practice. BSSH/ISSH Meeting, London 16^th Oct 2014
• Updates presented annually at RSTN session at BAPRAS and RSTN Summer meeting

Please list publications based on work performed in this study

• Sierakowski, M.D. Gardiner, A. Jain^*, A.V. Greig. Surgical Treatment of Paediatric Nail Bed Injuries in the United Kingdom: Surgeon and Patient Priorities for Future Research. JPRAS. 2016 Feb;69(2):286-8. *Corresponding author
• A Jain , A Sierakowski , M Gardiner, D Beard , J Cook , C Cooper , A Greig . Nail bed INJury Assessment Pilot (NINJA-P) Study: Should the nail plate be replaced or discarded after nail bed repair in children? Study protocol for a pilot randomised controlled trial. Pilot & Feasibility Studies 2015: 1:29

• Final Pilot data manuscript in preparation

Please state what additional research this study has/is leading to

•  This research will inform a large scale multi-centre RCT

Please list any further funding or grant applications (with outcome), which have resulted from the award of this grant

•  RCS Pump Priming £10,000
• NIHR RfPB research grant award - £350,000

How has this grant awards helped your career development?

• This has helped establish a national BSSH research network
• Personally this grant has allowed me to lead my first national multi-centre RCT