Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Web-based rehab after wrist salvage surgery

Official title: Web-based Rehabilitation After Surgical Salvage Procedures for Wrist Osteoarthritis: A Randomized Controlled Trial

Run by Karolinska Institutet · NCT06814821 · Data updated 2026-11-12

A web-based rehabilitation program is tested to see if it works as well as standard in-person rehab after wrist salvage surgery for osteoarthritis.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment90 (estimated)
SponsorKarolinska Institutet
Academic / other
Locations1 site (Stockholm)
StatusRecruiting
StartedApril 2, 2025
Main results expectedDecember 31, 2027
Study endsDecember 31, 2027
Registry record updatedOctober 7, 2026
Trial IDNCT06814821 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults planned for one of the listed wrist salvage surgeries and able to use web-based tools.

Probably not a fit

Patients without reliable internet access or those who do not respond well to remote rehabilitation may not benefit.

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

What this trial studies

This trial compares a web-based rehabilitation protocol to conventional face-to-face rehabilitation following wrist salvage procedures for osteoarthritis. It is designed to determine non-inferiority in patient-reported outcomes related to pain and function after surgery. Eligible participants are adults undergoing specified salvage procedures and having access to digital identification. The study is sponsored by Karolinska Institutet with Region Stockholm as a collaborator, and procedures occur at the Södersjukhuset department of hand surgery in Stockholm.

Why it matters

Potential benefit: If successful, patients could complete rehab remotely with similar outcomes, increasing access and convenience.

How similar studies have gone: Previous exercise and rehab studies in hand/wrist OA show mixed results; this trial explores a newer web-based format with non-inferiority aims.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Planned surgery:
* Four corner fusion (4CF)
* Lunate-Capitate fusion (LCF)
* Scaphoid-Trapezium-Trapezoid fusion (STT)
* Radius-Scaphoid-Lunate fusion (RSL)
* Proximal Row Carpectomy (PRC)
* Access to digital identification.

Exclusion Criteria:

* Unstable rheumatoid arthritis or other chronic inflammatory arthritis. However, stable inflammatory arthritis with unchanged medication during the last 12 weeks is not an exclusion criteria.
* History of psoriasis arthritis, gout, or pseudogout affecting the hand or wrist.
* Symptomatic OA in nearby joints.
* Inability to co-operate with the follow-up protocol (language difficulties, severe psychiatric disorder, cognitive impairment, drug addiction, inability to use web-based tools).

Where it's running

  • Department of hand handsurgery, Södersjukhuset
    Stockholm, Sweden
    Recruiting

Study contacts

  • Principal investigator: Elin M Swärd, PhD — KI Department of Clinical Science and Education, Södersjukhuset
  • Study coordinator: Tobias Tandrup, MSc, PhD student
  • Email: tobias.tandrup@ki.se
  • Phone: +46812364394

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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.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.