Danish Multicenter Scapholunate Ligament Study

Launched by UNIVERSITY OF AARHUS · Apr 15, 2020

Keywords

ClinConnect Summary

The Danish Multicenter Scapholunate Ligament Study is a clinical trial that is comparing two different surgical techniques used to repair a ligament in the wrist called the scapholunate (SL) ligament. This study aims to understand which method might be better for patients who have had injuries or long-term problems with this ligament. The trial is currently looking for participants aged 18 to 60 who have experienced wrist instability and have been dealing with symptoms for at least six weeks. To qualify, participants must have specific signs of ligament damage confirmed through imaging tests and wrist surgery.

If you decide to participate, you will be randomly assigned to one of the two surgical treatments being studied. Throughout the trial, you will receive care from a team of healthcare professionals and will be monitored for your recovery. It's important to note that certain conditions, like specific types of ligament injuries or other complications in the wrist, may prevent someone from joining the study. This research is significant as it could help improve treatments for wrist ligament injuries in the future.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Age 18-60 years (both included).
• • Symptomatic SL instability (VAS score ³3, QDASH score ³ 20).
• • \> 6 weeks since symptomatic hand trauma (chronic SL lesions).
• • SL gapping on radiographic stress views or SL gapping (³2mm) on static PA views.
• • Complete SL ligament lesion confirmed by wrist arthroscopy
• Exclusion Criteria:
• • Geissler grade 1-3 SLL injury (evaluated by arthroscopy).
• • Concomitant complete luno-triquetral (LT) ligament injury (evaluated by arthroscopy).
• • Lesion of TFCC leading to DRUJ instability (evaluated by arthroscopy).
• • Radiocarpal or midcarpal arthritis evaluated by arthroscopy.
• • Previous fracture in carpus or intraarticular radius fracture with step off (³2 mm), disposing to posttraumatic arthritis.
• • Adverse effects after extra articular radial fractures (dorsal angulation ³10 grader).
• • Peroperatively non-reducible scaphoid flexion/SL gap.
• • Terminal illness or severe medical illness: ASA score higher than or equal to 3.