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 type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 90 (estimated) |
| Sponsor | Karolinska Institutet Academic / other |
| Locations | 1 site (Stockholm) |
| Status | Recruiting |
| Started | April 2, 2025 |
| Main results expected | December 31, 2027 |
| Study ends | December 31, 2027 |
| Registry record updated | October 7, 2026 |
| Trial ID | NCT06814821 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
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Evaluating wrist and carpal fusion surgeries for pain relief and stability
This study is testing different wrist surgeries to see if they can help people with chronic pain and instability feel better and regain function after other treatments haven't worked.
-
Using tissue grafts to treat wrist osteoarthritis
This study is testing a new surgery using tissue grafts to see if it can help people with wrist osteoarthritis feel better and recover more effectively than using synthetic materials.
-
Comparing two surgical options for wrist osteoarthritis
This study is testing which surgery, either proximal row carpectomy or four-corner fusion, works better for people with certain types of wrist osteoarthritis.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.