Arthroscopic Midcarpal Wrist Arthrodesis: Clinical and Functional Outcomes

All cases of midcarpal wrist arthritis treated surgically with arthroscopic partial wrist fusion with cannulated screws from January 2015 to December 2017 will be reviewed.

The union rate and time to union will be recorded following the standard radiological postoperative control. Wrist assessments performed pre- and postoperative regarding strength, range of motion and pain will be analysed. Complications will be recorded as well.

Participants will be recruited for wrist assessment. They will be asked to fill out questionnaires about the functional result related to their quality of life.

Study Overview

• Status: Completed
• Conditions: Dislocation of Midcarpal Joint
• Intervention / Treatment: Other: arthroscopic wrist arthrodesis

• Study Type: Observational
• Enrollment (Actual): 15

Contacts and Locations

Study Locations

• Switzerland
  • Schweiz
    • Zürich, Schweiz, Switzerland, 8002
      • Olga Politikou

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No

• Sampling Method: Non-Probability Sample

Study Population

All cases of arthroscopic mid-carpal wrist arthrodesis for mid-carpal arthritis, related to post-traumatic or degenerative carpal deformity, performed in our Division from January 2015 to October 2017 will be studied. The approximate number of participants will be 15. There will be no control group.

Description

Inclusion Criteria:

1. All the patients suffered from traumatic or degenerative mid-carpal wrist arthritis or instability and treated surgically with arthroscopic midcarpal wrist arthrodesis in the Division of Plastic Surgery and Hand Surgery University Hospital Zürich from January 2015 to October 2017 will be included.
2. Signed informed consent for participation in the study and for further use of collected data.

Exclusion Criteria:

1. Missing Informed consent

Study Plan

How is the study designed?

Design Details

• Observational Models: Case-Only
• Time Perspectives: Retrospective

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Wrist range of motion after surgery	Extension , Flexion, Radial and ulnar deviation, Pronation , Supination	5 minutes

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Hand strength after surgery	Strength measurement in kilos (Kg) with Jamar Dynamometer placed in Scale 2. Three consecutive trials will be executed, the best result (higher strength in kilos) will be registered.	2 minutes
Pain assessment in weight bearing (Visual analogue scale, VAS)	The patients will be asked to evaluate the pain in the wrist by full weight bearing, according to visual analogue scale (VAS 0-10, 0 means no pain, 10 means maximum pain)	1 minute
Function assessment through DASH (The disabilities of the arm, shoulder, hand) questionnaire	This questionnaire asks about patient's symptoms as well as their ability to perform certain activities in the last week. The DASH Outcome Measure is scored in two components: the disability/symptom section (30 items, scored 1-5) and the optional high performance Sport/Music or Work section (4 items, scored 1-5). The response to the first 30 items of the DASH are added to form the raw, or actual, score. A minimum score is 30; a maximum is 150.The raw score is then transformed to a zero-to-100 scale with zero reflecting no disability (good function) and 100 reflecting maximum disability. The maximum score of the second section is 20 with a minimum of 4. The range of scores is therefore 16. This score is also transformed to a zero-to-100 scale with lower scores reflecting minimal disability, and higher scores reflecting more disability.	5 minutes

Collaborators and Investigators

• Sponsor: University of Zurich

Publications and helpful links

General Publications

• del Pinal F, Tandioy-Delgado F. (Dry) arthroscopic partial wrist arthrodesis: tips and tricks. Handchir Mikrochir Plast Chir. 2014 Oct;46(5):300-6. doi: 10.1055/s-0034-1387707. Epub 2014 Oct 7.
• del Pinal F, Klausmeyer M, Thams C, Moraleda E, Galindo C. Early experience with (dry) arthroscopic 4-corner arthrodesis: from a 4-hour operation to a tourniquet time. J Hand Surg Am. 2012 Nov;37(11):2389-99. doi: 10.1016/j.jhsa.2012.08.026.

Study record dates

Study Major Dates

• Study Start (Actual): July 30, 2018
• Primary Completion (Actual): August 13, 2018
• Study Completion (Actual): December 31, 2018

Study Registration Dates

• First Submitted: September 10, 2018
• First Submitted That Met QC Criteria: December 3, 2018
• First Posted (Actual): December 4, 2018

Study Record Updates

• Last Update Posted (Actual): May 12, 2023
• Last Update Submitted That Met QC Criteria: May 11, 2023
• Last Verified: May 1, 2023

More Information

Terms related to this study

• Keywords: arthroscopy; wrist osteoarthrosis
• Additional Relevant MeSH Terms: Wounds and Injuries; Joint Diseases; Musculoskeletal Diseases; Joint Dislocations
• Other Study ID Numbers: KEK-ZH ID 2017-02003

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No