Comparing two surgical techniques for wrist ligament reconstruction

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This multicenter study aims to compare two surgical techniques commonly used for the reconstruction of the scapholunate (SL) ligament. Participants with symptomatic SL instability will be randomized to receive either the Berger technique or the 3LT technique. The study will evaluate patient-reported outcomes, clinical assessments, and radiological results up to 10 years post-treatment. The goal is to determine which surgical approach yields better long-term outcomes for patients with complete SL ligament lesions.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Age 18-60 years (both included).
* Symptomatic SL instability (VAS score ³3, QDASH score ³ 20).
* \> 6 weeks since symptomatic hand trauma (chronic SL lesions).
* SL gapping on radiographic stress views or SL gapping (³2mm) on static PA views.
* Complete SL ligament lesion confirmed by wrist arthroscopy

Exclusion Criteria:

* Geissler grade 1-3 SLL injury (evaluated by arthroscopy).
* Concomitant complete luno-triquetral (LT) ligament injury (evaluated by arthroscopy).
* Lesion of TFCC leading to DRUJ instability (evaluated by arthroscopy).
* Radiocarpal or midcarpal arthritis evaluated by arthroscopy.
* Previous fracture in carpus or intraarticular radius fracture with step off (³2 mm), disposing to posttraumatic arthritis.
* Adverse effects after extra articular radial fractures (dorsal angulation ³10 grader).
* Peroperatively non-reducible scaphoid flexion/SL gap.
* Terminal illness or severe medical illness: ASA score higher than or equal to 3.

Where it's running

• Aarhus University Hospital
  Aarhus, Denmark Recruiting
• Hospital Unit Vest
  Holstebro, Denmark Recruiting

Study contacts

• Principal investigator: Janni K Thillemann, Dr — Hospitalsenheden Vest
• Study coordinator: Janni K Thillemann, Dr
• Email: teamjanni@gmail.com
• Phone: +45 28137303

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.