Short Term Evaluation of SLIC Screw in Treatment of Scapholunate Injury
Multicenter Retrospective-prospective Short-term Evaluation of the SLIC Screw System in Subjects Requiring Treatment for Acute Scapholunate Injury
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- ADULT
- OLDER_ADULT
- CHILD
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Subjects willing and able to comprehend and sign Informed Consent
- Subjects who have received the SLIC screw as part of the treatment for scapholunate ligament repair or scapholunate reduction
- Subjects with acute scapholunate injury, classified with Garcia-Elias Stage 1-4, OR Geissler Stage 1-3
- Subjects >18 years of age at the time of surgery
Exclusion Criteria:
- Subject diagnosed with chronic scapholunate injury
- Subjects who underwent previous scapholunate procedure on the study wrist before implantation of the SLIC Screw System
- Subjects with active or latent infection at the time of surgery
- Subjects with sepsis at the time of surgery
- Subjects diagnosed with osteoporosis at the time of surgery
- Subjects with insufficient quantity and/or quality of bone
- Subjects with cartilage degeneration on the bones at the time of surgery
- Subjects with absence of potential for soft tissue healing at time of surgery, as documented by the investigator.
- Female Subjects known to be pregnant
- Subjects who were unable to follow postoperative care instructions, specifically, activity levels
- Subjects who are unable or unwilling to return for postoperative study visits
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Comparison of reported VAS pain from preoperative to post-planned explantation
Time Frame: 12 months
|
Planned removal of provisional device recommended between six and 9 months; 12-month analysis will capture time to planned removal.
|
12 months
|
|
Time to planned explantation is operationally defined as the time in days between device implantation and planned removal of an intact device
Time Frame: 12 months
|
12 months
|
|
|
The proportion of devices where removal is attributed to healing and not device failure
Time Frame: 12 months
|
12 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Radiographic evaluation of device integrity
Time Frame: 12 months
|
Device integrity defined as no device breakage or separation
|
12 months
|
|
Radiographic evaluation of radiolucency
Time Frame: 12 months
|
12 months
|
|
|
Radiographic evaluation of osteolysis
Time Frame: 12 months
|
12 months
|
|
|
Complication rates over time
Time Frame: 12 months
|
12 months
|
|
|
Comparison of range of motion in degrees from preoperative values
Time Frame: 12 months
|
Flexion, Extension, Radial Deviation, Ulnar Deviation
|
12 months
|
|
Comparison of grip strength in kg from preoperative values
Time Frame: 12 months
|
12 months
|
|
|
Comparison of reported VAS pain from preoperative values
Time Frame: 12 months
|
12 months
|
|
|
Subject satisfaction based on a five-point scale from preoperative
Time Frame: 12 months
|
12 months
|
|
|
Comparison of scapholunate angle from preoperative through radiographic evaluation
Time Frame: 12 months
|
12 months
|
|
|
Comparison of scapholunate joint space from preoperative through radiographic evaluation
Time Frame: 12 months
|
12 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Robert S Unsell, MD, Community Hospital
Publications and helpful links
General Publications
- Zarkadas PC, Gropper PT, White NJ, Perey BH. A survey of the surgical management of acute and chronic scapholunate instability. J Hand Surg Am. 2004 Sep;29(5):848-57. doi: 10.1016/j.jhsa.2004.05.008.
- Caloia M, Caloia H, Pereira E. Arthroscopic scapholunate joint reduction. Is an effective treatment for irreparable scapholunate ligament tears? Clin Orthop Relat Res. 2012 Apr;470(4):972-8. doi: 10.1007/s11999-011-1953-4.
- Aviles AJ, Lee SK, Hausman MR. Arthroscopic reduction-association of the scapholunate. Arthroscopy. 2007 Jan;23(1):105.e1-5. doi: 10.1016/j.arthro.2006.07.013. Epub 2006 Oct 16.
- Larson TB, Gaston RG, Chadderdon RC. The use of temporary screw augmentation for the treatment of scapholunate injuries. Tech Hand Up Extrem Surg. 2012 Sep;16(3):135-40. doi: 10.1097/BTH.0b013e318257595b.
- Rosenwasser MP, Miyasajsa KC, Strauch RJ. The RASL procedure: reduction and association of the scaphoid and lunate using the Herbert screw. Tech Hand Up Extrem Surg. 1997 Dec;1(4):263-72. No abstract available.
- Herbert TJ. Acute rotary dislocation of the scaphoid: a new technique of repair using Herbert screw fixation across the scapho-lunate joint. World J Surg. 1991 Jul-Aug;15(4):463-9. doi: 10.1007/BF01675642.
- Opreanu RC, Baulch M, Katranji A. Reduction and maintenance of scapholunate dissociation using the TwinFix screw. Eplasty. 2009;9:e7. Epub 2009 Jan 29.
- Cognet JM, Levadoux M, Martinache X. The use of screws in the treatment of scapholunate instability. J Hand Surg Eur Vol. 2011 Oct;36(8):690-3. doi: 10.1177/1753193411410154. Epub 2011 Jun 23.
- Bhat AK, Kumar B, Acharya A. Radiographic imaging of the wrist. Indian J Plast Surg. 2011 May;44(2):186-96. doi: 10.4103/0970-0358.85339.
- Loredo RA, Sorge DG, Garcia G. Radiographic evaluation of the wrist: a vanishing art. Semin Roentgenol. 2005 Jul;40(3):248-89. doi: 10.1053/j.ro.2005.01.014. No abstract available.
- Garcia-Elias M. The treatment of wrist instability. J Bone Joint Surg Br. 1997 Jul;79(4):684-90. doi: 10.1302/0301-620x.79b4.14192. No abstract available.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 14013
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