RecruitingNot ApplicableNCT04580225

Randomized Comparison of PARtial Wrist Fusion With or Without Triquetral Excision (PARTE)

Sponsor

University of Alberta

Enrollment

170 participants

Start Date

Jan 7, 2021

Study Type

INTERVENTIONAL

Conditions

Musculoskeletal Diseases Arthritis Joint Diseases Post-traumatic; Arthrosis Wrist Arthropathy Scapholunate Advanced Collapse Scaphoid Nonunion Wrist arthritis

Summary

This randomized clinical trial (RCT) aims to compare clinical and radiographic outcomes of different partial wrist fusion techniques in participants with post-traumatic wrist arthritis. Participants with stage II or III scapholunate advanced collapse (SLAC) or scaphoid nonunion advanced collapse (SNAC) who meet the eligibility criteria will be randomly assigned to one of two parallel groups: Group A (partial wrist arthrodesis without triquetral excision i.e. four-corner arthrodesis), or Group B (partial wrist arthrodesis with triquetral excision i.e. three-corner or capitolunate arthrodesis with triquetral excision). The results of this study will provide evidence to guide surgeons in determining the ideal wrist fusion technique in the management of patients with post-traumatic wrist arthritis requiring surgery.

Eligibility

Min Age: 18 YearsMax Age: 75 Years

Plain Language Summary

Simplified for easier understanding

This study is comparing two surgical techniques for partial wrist fusion in adults with post-traumatic wrist arthritis (either SLAC or SNAC wrist): a four-bone fusion (four-corner arthrodesis) versus a three-bone fusion with removal of the triquetrum bone (capitolunate or three-corner arthrodesis with triquetral excision). The goal is to find out which technique leads to better grip strength, range of motion, and patient-reported outcomes. You may be eligible if you are an adult with advanced wrist arthritis following a scaphoid injury or ligament damage and have been recommended for wrist salvage surgery. Participation involves being randomly assigned to one of the two surgical approaches, followed by assessments of grip, wrist motion, and pain at multiple appointments up to 12 months after surgery. This summary was prepared using AI to help patients understand this research.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

PROCEDUREFour-Corner Arthrodesis

Participants in Group A will receive a four-corner arthrodesis (fusion of the capitate, hamate, lunate, and triquetrum) with excision of the scaphoid.

PROCEDUREThree-Corner or Capitolunate Arthrodesis with Triquetral Excision

Participants in Group B will receive a three-corner arthrodesis (fusion of the capitate, hamate, and lunate) or capitolunate arthrodesis (fusion of the capitate and lunate) with excision of the scaphoid and triquetrum.

Locations(6)

Peter Lougheed Centre

Calgary, Alberta, Canada

South Health Campus

Calgary, Alberta, Canada

Western Hand & Upper Limb Facility, Sturgeon Community Hospital

St. Albert, Alberta, Canada

Lawson Health Research Institute

London, Ontario, Canada

The Ottawa Hospital - Civic Campus

Ottawa, Ontario, Canada

University of Saskatchewan

Saskatoon, Saskatchewan, Canada

View Full Details on ClinicalTrials.gov

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NCT04580225

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