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Randomized Comparison of PARtial Wrist Fusion With or Without Triquetral Excision (PARTE)

Joint Diseases | Arthritis | Musculoskeletal Diseases | Post-traumatic; Arthrosis | Wrist Arthritis | Wrist...

This randomized clinical trial (RCT) aims to compare clinical and radiographic outcomes of different partial wrist fusion techniques in participants with post-traumatic wrist arthritis. Participants with stage II or III scapholunate advanced collapse (SLAC) or scaphoid nonunion advanced collapse (SNAC) who meet the eligibility criteria will be randomly assigned to one of two parallel groups: Group A (partial wrist arthrodesis without triquetral excision i.e. four-corner arthrodesis), or Group B (partial wrist arthrodesis with triquetral excision i.e. three-corner or capitolunate arthrodesis with triquetral excision). The results of this study will provide evidence to guide surgeons in determining the ideal wrist fusion technique in the management of patients with post-traumatic wrist arthritis requiring surgery.

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Participation Requirements

  • Sex:

    ALL
  • Eligible Ages:

    18 to 75

Participation Criteria

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)

Study Location

Western Hand & Upper Limb Facility, Sturgeon Community Hospital
Western Hand & Upper Limb Facility, Sturgeon Community Hospital
St. Albert, Alberta
Canada

Contact Study Team

Primary Contact

Collaborative Orthopaedic Research

(780) 492-0830
South Health Campus
South Health Campus
Calgary, Alberta
Canada

Contact Study Team

Primary Contact

Adina Tarcea

[email protected]
403-956-3687
University of Saskatchewan
University of Saskatchewan
Saskatoon, Saskatchewan
Canada

Contact Study Team

Primary Contact

Laura A. Sims, MD, FRCSC

[email protected]
Lawson Health Research Institute
Lawson Health Research Institute
London, Ontario
Canada

Contact Study Team

Primary Contact

Katrina Munro

[email protected]
Peter Lougheed Centre
Peter Lougheed Centre
Calgary, Alberta
Canada

Contact Study Team

Primary Contact

Gerardo Duque, MA

[email protected]
403-943-5556
The Ottawa Hospital - Civic Campus
The Ottawa Hospital - Civic Campus
Ottawa, Ontario
Canada

Contact Study Team

Primary Contact

Hoda Ghaziasgar, MSc

[email protected]
613-737-8899
Study Sponsored By
University of Alberta
Participants Required
More Information
Study ID: NCT04580225