NCT01906996

Proximal Row Carpectomy Versus Four Corner Fusion

Comparison of Subjective, Radiological and Functional Results After Proximal Row Carpectomy and Four Corner Fusion

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 114 (estimated)
• Sponsor: Schulthess Klinik · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

There are two types of interventions to treat a post-traumatic wrist osteoarthritis: the proximal row carpectomy and the four corner fusion. They are used to reduce pain and to maintain the mobility. In previous studies are shown that the proximal row carpectomy shows a better mobility of the wrist postoperatively, whereas the four corner fusion has lower progression of radiocarpale osteoarthritis. The purpose of this study is to compare the clinical, radiological and subjective outcomes after the treatment with a proximal row carpectomy or a four corner fusion.

Detailed description

Two surgical procedures are used to treat a post-traumatic wrist osteoarthritis, especially after scaphoid non-union advanced collapse (SNAC) and scapholunate advanced collapse (SLAC): the proximal row carpectomy and the four corner fusion. Both surgical procedures are rescue operations. They are used to reduce pain and to maintain the mobility, compared to a complete stiffening of the wrist. In previous studies are shown that the proximal row carpectomy shows a better mobility of the wrist postoperatively and a lower complication rate, whereas the four corner fusion has a lower progression of radiocarpale osteoarthritis and a better grip strength. The purpose of this study is to compare the clinical, radiological and subjective outcomes after the treatment with a proximal row carpectomy or a four corner fusion.

Conditions

• Wrist Osteoarthritis

Interventions

Type	Name	Description
PROCEDURE	proximal row carpectomy	excision of the scaphoid, lunate and triquetrum
PROCEDURE	four corner fusion	excision of the scaphoid and stiffening of the lunate, capitate and triquetrum by a plate

Timeline

• Start date: 2013-07-01
• Primary completion: 2014-01-01
• Completion: 2014-01-01
• First posted: 2013-07-24
• Last updated: 2014-02-27

Locations

1 site across 1 country: Switzerland