Radioscapholunate Fusions After Wrist Trauma

Completed

• Conditions: Posttraumatic Radiocarpal Osteoarthritis

• Registration Number: NCT03850249
• Lead Sponsor: University Hospital, Montpellier

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

Study Timeline

• Study Start: 2018-01-01
• Primary Completion: 2018-05-01
• Study Completion: 2018-05-31
• Study First Submitted: 2019-01-24
• Study First Submitted QC: 2019-02-20
• Study First Posted: 2019-02-21
• Status Verified: 2020-12
• Last Update Submitted: 2020-12-28
• Last Update Posted: 2020-12-30

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 85

Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
presence of non-consolidation of radio-scapho-lunar arthrodesis	1 day	To evaluate the long-term radiographic results of post-traumatic radio scapholunate
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

Secondary Outcome Measures

Name	Time	Method
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)

Trial Locations

Locations (1)

Uhmontpellier; 🇫🇷 Montpellier, France