Scapholunate Ligament Reconstruction: Early Dart Throwing Motion Versus Motion in Anatomical Planes
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Pain in resting position
研究概览
简要总结
Patients undergoing scapholunate ligament reconstruction at Balgrist University Hospital are divided into two groups and receive two different types of mobilisation postoperatively. The investigators will compare the outcome (pain, strength, mobility) between the two groups 1 year after the operation.
详细描述
The so-called 'dart-throwing motion' (DTM) plane of movement, from radial extension to ulnar flexion, has gained attention as it has been shown to be an important axis of wrist movement during activities of daily living. Further studies have shown that during movement of the intact wrist in the dart throwing plane, most of the movement occurs in the mediocarpal joint, while the proximal row remains relatively immobile.
In scapholunate (SL) ligament reconstruction using the flexor carpi radialis tendon, the SL interval is immobilised using 2 Kirschner wires for 8-10 weeks to relieve the strain on the ligament and allow it to heal. From the 2nd postoperative week, mobilisation is started using DTM mobilisation or mobilisation in the anatomical plane. The aim of the study is to investigate in a randomised trial whether mobilisation in the anatomical plane produces the same postoperative results.
In this project, the investigators will compare two types of mobilisation in the rehabilitation of SL ligament reconstruction. The participants will be randomised to two treatment groups. This procedure therefore corresponds to a risk category A in 'other' clinical trials according to Chapter 4 ClinO.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •SL Ligament reconstruction at Balgrist University Hospital
- •at least 18 years
- •Written informed consent
排除标准
- •Age under 18 years
- •Refusal of participation
- •Pregnancy
研究组 & 干预措施
Early dart throwing motion
From the 2nd postoperative week, the 'Dart-Throwing Motion' is started, from radial extension to ulnar flexion.
干预措施: Early dart throwing motion-mobilization (Other)
Mobilisation in anatomical planes
From the 2nd postoperative week, movements are started in the anatomical plane of the hand (standard rehabilitation)
干预措施: Early dart throwing motion-mobilization (Other)
结局指标
主要结局
Pain in resting position
时间窗: Before surgery, 7 weeks after surgery, 11 weeks after surgery, 6 months after surgery, 12 months after surgery
Assessment of resting pain using the VAS Score (Visual Analog Scale), where 0 indicates no pain and 10 indicates the worst pain.
Pain during activity
时间窗: Before surgery, 7 weeks after surgery, 11 weeks after surgery, 6 months after surgery, 12 months after surgery
Assessment of pain during activity using the VAS (Visual Analog Scale), where 0 indicates no pain and 10 indicates the worst pain
Mobility of the wrist: Flexion
时间窗: Before surgery, 7 weeks after surgery, 11 weeks after surgery, 6 months after surgery, 12 months after surgery
Assessment of wrist flexion by measuring the range of motion in degrees.
Mobility of the wrist: Extension
时间窗: Before surgery, 7 weeks after surgery, 11 weeks after surgery, 6 months after surgery, 12 months after surgery
Assessment of wrist extension by measuring the range of motion in degrees.
Mobility of the wrist: Ulnar deviation
时间窗: Before surgery, 7 weeks after surgery, 11 weeks after surgery, 6 months after surgery, 12 months after surgery
Assessment of wrist ulnar deviation by measuring the range of motion in degrees.
Mobility of the wrist: Pronation
时间窗: Before surgery, 7 weeks after surgery, 11 weeks after surgery, 6 months after surgery, 12 months after surgery
Assessment of wrist pronation by measuring the range of motion in degrees.
Mobility of the wrist: Supination
时间窗: Before surgery, 7 weeks after surgery, 11 weeks after surgery, 6 months after surgery, 12 months after surgery
Assessment of wrist supination by measuring the range of motion in degrees.
Strength Assessment: Grip Strength
时间窗: Before surgery, 11 weeks after surgery, 6 months after surgery, 12 months after surgery
Using the Jamar Hydraulic Hand Dynamometer which displays isometric grip force from 0-90 kg, grip strength will be assessed.
次要结局
- Recording ability to work(Before surgery, 7 weeks after surgery, 11 weeks after surgery, 6 months after surgery, 12 months after surgery)
- Recording of physical limitations(Before surgery, 11 weeks after surgery, 6 months after surgery, 12 months after surgery)
- Recording wrist pain and restrictions(Before surgery, 11 weeks after surgery, 6 months after surgery, 12 months after surgery)
研究者
Lisa Reissner
Dr. med.
University of Zurich