An observational study in Wrist Osteoarthritis, sponsored by Schulthess Klinik. Completed at 1 site in Switzerland. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2014-02-27.
Sponsored by Schulthess Klinik · Observational
There are two types of interventions to treat a post-traumatic wrist osteoarthritis: the proximal row carpectomy and the four corner fusion. They are used to reduce pain and to maintain the mobility. In previous studies are shown that the proximal row carpectomy shows a better mobility of the wrist postoperatively, whereas the four corner fusion has lower progression of radiocarpale osteoarthritis.
The purpose of this study is to compare the clinical, radiological and subjective outcomes after the treatment with a proximal row carpectomy or a four corner fusion.
Two surgical procedures are used to treat a post-traumatic wrist osteoarthritis, especially after scaphoid non-union advanced collapse (SNAC) and scapholunate advanced collapse (SLAC): the proximal row carpectomy and the four corner fusion. Both surgical procedures are rescue operations. They are used to reduce pain and to maintain the mobility, compared to a complete stiffening of the wrist.
In previous studies are shown that the proximal row carpectomy shows a better mobility of the wrist postoperatively and a lower complication rate, whereas the four corner fusion has a lower progression of radiocarpale osteoarthritis and a better grip strength.
The purpose of this study is to compare the clinical, radiological and subjective outcomes after the treatment with a proximal row carpectomy or a four corner fusion.
4,398 studies on the registry are indexed under Osteoarthritis; 582 are open to participants now.
This study's planned enrollment of 114 is above the median of 100 across 791 observational studies indexed under Osteoarthritis.
Browse Osteoarthritis studies →Schulthess Klinik is the lead sponsor of 52 studies on the registry; 10 are open to participants now.
Counted across the registry records on this site, refreshed daily.
patients with a post-traumatic wrist osteoarthritis, who are treated with a proximal row carpectomy or a four corner fusion
Exclusion Criteria:
patients were treated with a proximal row carpectomy
Procedure: proximal row carpectomy
patients were treated with a four corner fusion
Procedure: four corner fusion
excision of the scaphoid, lunate and triquetrum
excision of the scaphoid and stiffening of the lunate, capitate and triquetrum by a plate
Range of motion of the wrist
measurements of flexion/extension,supination/pronation and radial-/ulnarduction of the wrist
Time frame: participants will be followed up by an expected average of 4.5 years
complication rate
Detection of complications of both surgical procedures
Time frame: participants will be followed up by an expected average of 4.5 years
grip strength
measurement of grip strength
Time frame: participants will be followed up by an expected average of 4.5 years
Patient-Rated Wirst Evaluation (PRWE)
Comparison of proximal row carpectomy and four corner fusion in respect to PRWE
Time frame: participants will be followed up by an expected average of 4.5 years
Michigan Hand Outcomes Questionnaire (MHQ)
Comparison of proximal row carpectomy and four corner fusion in respect to MHQ
Time frame: participants will be followed up by an expected average of 4.5 years
Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH)
Comparison of proximal row carpectomy and four corner fusion in rsespect to QuickDASH
Time frame: participants will be followed up by an expected average of 4.5 years
Detection of radiological parameters
Detection of arthrosis fossa lunata, impingement and loosening
Time frame: participants will be followed up by an expected average of 4.5 years
This study is completed, as verified in Feb 2014. You cannot join it, but the record below documents what was studied.
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