Radioscapholunate Fusions After Wrist Trauma

Radioscapholunate Fusions After Wrist Trauma: Long-term Clinical and Radiographic Results.

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT03850249

Acronym

Radioscapho

Enrollment

Registered

2019-02-21

Start date

2018-01-01

Completion date

2018-05-31

Last updated

2020-12-30

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Posttraumatic Radiocarpal Osteoarthritis

Keywords

Radioscapholunate, Fusion, Arthrodesis, Radiocarpal osteoarthritis, Partial radiocarpal fusion

Brief summary

The investigators conduced a clinical trial to evaluate the clinical and radiographic results after radioscapholunate fusion in case of posttraumatic radiocarpal osteoarthritis. Because of poor clinical result, many authors upgrade the procedure including excision of the distal pole of the scaphoid and later excision of the entire triquetrum. Only one study compared the three procedures in 17 patients. The investigators performed the same comparison in 85 patients with a mean follow up of 9,1 years (1-23)

Detailed description

The investigators compared three populations: patients with radioscapholunate (RSL) fusion alone, patients with RSLfusion and distal scaphoid excision and patient with RSL fusion, distal scaphoid excision and excision of the triquetrum. The investigators performed clinical (pain, grasp strength, wrist motion), functional and radiographic (midcarpal osteoarthritis and radiocarpal nonunions) evaluation

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

RETROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* posttraumatic radiocarpal osteoarthritis * Patients who underwent radioscapholunate fusion

Exclusion criteria

* Patients with radiocarpal osteoarthritis due to rheumatoid or inflammatory disease and Kienböck disease * Patients with posttraumatic radiocarpal osteoarthritis managed with other surgery

Design outcomes

Primary

Measure	Time frame	Description
presence of mediocarpal osteoarthritis	1 day	To evaluate the long-term radiographic results of post-traumatic radio scapholunate
presence of scapho-trapezoidal trapezoid	1 day	To evaluate the long-term radiographic results of post-traumatic radio scapholunate
presence of non-consolidation of radio-scapho-lunar arthrodesis	1 day	To evaluate the long-term radiographic results of post-traumatic radio scapholunate

Secondary

Measure	Time frame	Description
Assess overall survival	1 day	To evaluate the overall survival (excluding total wrist arthrodesis) of post-traumatic radio scapholunate
the prognostic factors of good clinical	1 day	To evaluate the prognostic factors of good clinical (ie absence of osteoarthritis or good consolidation of arthrodesis)
the prognostic factors of radiographic evolution	1 day	To evaluate the prognostic factors of radiographic evolution (ie absence of osteoarthritis or good consolidation of arthrodesis)

Countries

France

Outcome results