Comparing two techniques for wrist fusion in patients with post-traumatic arthritis

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 clinical trial compares the outcomes of two different partial wrist fusion techniques in adults suffering from post-traumatic wrist arthritis, specifically those with stage II or III scapholunate advanced collapse (SLAC) or scaphoid nonunion advanced collapse (SNAC). Participants will be randomly assigned to either a four-corner arthrodesis without triquetral excision or a three-corner/capitolunate arthrodesis with triquetral excision. The study aims to evaluate clinical and radiographic outcomes, including grip strength and wrist range of motion, through follow-up assessments conducted at multiple intervals post-surgery. The findings will help guide surgical decisions for optimal management of wrist arthritis.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Participant has a stage II or III scapholunate advanced collapse (SLAC) or scaphoid nonunion advanced collapse (SNAC) wrist and is a surgical candidate for the included surgical interventions

Exclusion Criteria:

* Participant has been diagnosed with other forms of wrist arthritis other than SLAC or SNAC
* Participant has significant arthritis of the ipsilateral hand/finger joint(s), major joint trauma, previous major wrist surgery, infection or neuromuscular pathology affecting the function of the ipsilateral upper extremity or ability to make a fist
* Participant has a physical or mental health condition preventing completion of consent or questionnaires
* Participant does not speak/read/understand English
* Participant has no fixed address or means of contact
* Participant is unwilling to complete necessary follow-ups
* Surgeon concludes that eligible salvage techniques are not appropriate at the time of surgery (based on injury characteristics or concomitant wrist pathology)

Where it's running

• South Health Campus
  Calgary, Alberta, Canada Recruiting
• Western Hand & Upper Limb Facility, Sturgeon Community Hospital
  St. Albert, Alberta, Canada Recruiting
• Lawson Health Research Institute
  London, Ontario, Canada Recruiting
• The Ottawa Hospital - Civic Campus
  Ottawa, Ontario, Canada Recruiting
• University of Saskatchewan
  Saskatoon, Saskatchewan, Canada Recruiting

Study contacts

• Study coordinator: Dr. Armin Badre, MD, MSc, FRCSC
• Email: badre@ualberta.ca
• Phone: (780) 569-5494

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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.