Proximal Row Carpectomy vs Four-corner Fusion for Osteoarthritis of the Wrist

Launched by TÖÖLÖ HOSPITAL · Feb 5, 2020

Keywords

ClinConnect Summary

This clinical trial is studying two different surgical procedures to treat wrist osteoarthritis, specifically in patients with a condition called scapholunate advanced collapse (SLAC) or scaphoid non-union advanced collapse (SNAC). The two procedures being compared are proximal row carpectomy (PRC), which involves removing some of the wrist bones, and four-corner fusion (FCA), where several bones in the wrist are fused together to relieve pain and improve function. The goal is to see which method leads to better outcomes for patients.

To participate in the trial, you need to be between 18 and 75 years old, have had symptoms for more than three months, and have a specific type of wrist arthritis (SLAC or SNAC II-III). Unfortunately, if you have other serious wrist conditions, rheumatoid arthritis, or certain health issues that could affect healing, you wouldn’t be eligible. If you join the study, you’ll have your surgery and then attend follow-up visits at various times to monitor your recovery over the next several years. Both you and the assessors will not know which procedure you received until a year after your surgery, which helps ensure the results are unbiased.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • SLAC/SNAC II-III
• • Age 18 - 75
• • Symptom duration \> 3 months
• • American Society of Anaesthesiologists physical status (ASA) I-II
• Exclusion Criteria:
• • Patient eligible for SL reconstruction or scaphoid
• • Ulnocarpal/pancarpal arthritis
• • Lunate fossa, proximal lunate arthrosis or both
• • Age \<18 or \>75 years
• • Rheumatoid arthritis
• • Heavy smoking (\> 20 cigarettes per day)
• • Condition or medication affecting bony healing (eg diabetes mellitus with poor glycemic control, malnutrition, use of per oral corticosteroids)
• • Alcohol or drug abuse
• • Neurological condition affecting upper limb function