Radioscapholunate Fusions After Wrist Trauma: Long-term Clinical and Radiographic Results.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Posttraumatic Radiocarpal Osteoarthritis
- Sponsor
- University Hospital, Montpellier
- Enrollment
- 85
- Locations
- 1
- Primary Endpoint
- presence of mediocarpal osteoarthritis
- Status
- Completed
- Last Updated
- 5 years ago
Overview
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
Investigators
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
presence of mediocarpal osteoarthritis
Time Frame: 1 day
To evaluate the long-term radiographic results of post-traumatic radio scapholunate
presence of scapho-trapezoidal trapezoid
Time Frame: 1 day
To evaluate the long-term radiographic results of post-traumatic radio scapholunate
presence of non-consolidation of radio-scapho-lunar arthrodesis
Time Frame: 1 day
To evaluate the long-term radiographic results of post-traumatic radio scapholunate
Secondary Outcomes
- Assess overall survival(1 day)
- the prognostic factors of good clinical(1 day)
- the prognostic factors of radiographic evolution(1 day)