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Dorsal and Volar Surgeries Preferred in Scaphoid Pseudorthrosis Comparison of Effects on Kinematics

Not Applicable
Completed
Conditions
Scaphoid Fracture
Interventions
Procedure: SCAHOİD GRAPHONAGE WITH AUTOGRAPH FROM DİSTAL RADİUS BY VOLAR APPROACH
Procedure: SCAHOİD GRAPHONAGE WITH AUTOGRAPH FROM DİSTAL RADİUS BY DORSAL APPROACH
Registration Number
NCT04892862
Lead Sponsor
Istanbul University
Brief Summary

Our aim is to objectively analyze the effects of the non-vascularized autograft taken from the radius and the dorsal and volar surgical approach on the preop and postop wrist kinematics and the movements we use frequently in daily life, and to present the results.

Detailed Description

At least 23 working male patients between the ages of 20-50 who do not have active additional diseases will be included in the study, and those who have not previously had trauma or surgical intervention on the same extremity, and who do not have vascular and neurological fields, These patients will be followed-up at the itf orthopedic clinic and the medical faculty orthopedics clinic. their patients will be After the preop and postop union is provided to the patients who will be divided into 2 groups of at least 10 people (in the 12th month postop), the wrist motion analysis will be performed with the XSENS MTw Awinda 17 sensor full body motion capture system in the Bahçeşehir University biomechanics laboratory (separate on the healthy side). In addition to the rum, 5 movements such as personal wc cleaning, drinking coffee from the cup will be stimulated by looking at the healthy side.

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
23
Inclusion Criteria

Not provided

Exclusion Criteria
  • Criteria:having vascular and neurological spaces in the same extremity without previous trauma or surgical intervention

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
volar surgical approachSCAHOİD GRAPHONAGE WITH AUTOGRAPH FROM DİSTAL RADİUS BY VOLAR APPROACHvolar surgical approach
dorsal surgical approachSCAHOİD GRAPHONAGE WITH AUTOGRAPH FROM DİSTAL RADİUS BY DORSAL APPROACHdorsal surgical approach
Primary Outcome Measures
NameTimeMethod
CHANGES İN WRİST RANGE OF MOTİONpreoperation , postop 3. week, 6. week, 3.month, 6. month and avarage of first year

measure wrist range of motion with goniometer

assess bone union3 weeks to 3 months post-op

assesing union on wrist antero-posterior/ lateral x-rays, by identification of trabeculae crossing the fracture line or sclerosis at the fracture line

Secondary Outcome Measures
NameTimeMethod
VAS SCORESpreoperation , avarage of first year after operation

The visual analog scale (VAS) is a validated, subjective measure for acute and chronic pain. Scores are recorded by making a handwritten mark on a 10-cm line that represents a continuum between "no pain" and "worst pain."

HAND MAYO SCOREpreoperation , avarage of first year after operation

Mayo Wrist Score -- OrthoToolKit Scores range from 0 to 100 with a score of 0 indicating a worse wrist condition and 100 indicating a better wrist condition. Original Literature: Cooney, W. P., et al. "Difficult wrist fractures.

DASH scorepreoperation , avarage of first year after operation

Each item has five response options. The scores are then used to calculate a scale score ranging from 0 (no disability) to 100 (most severe disability)-this is called the DASH score. The DASH questionnaire is used as an indicator of the impact of an impairment on the level and type of disability we expect decrease after operation

Trial Locations

Locations (1)

Istanbul University

🇹🇷

Istanbul, Fatih, Turkey

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