Our aim is to assess the outcomes of distal pole resection of the scaphoid in patients with symptomatic OA of the STT joint or patients with a fracture nonunion of the scaphoid. Pain, functional outcome, and radiological outcome will be described…
ID
Source
Brief title
Condition
- Bone and joint therapeutic procedures
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Pain is measured by a visual analogue scale. Wrist function will be evaluated
by measuring grip and key pinch strength and range of motion (ROM) according to
a standardized protocol and to the other hand. Limitations in daily life and
patient satisfaction are measured by a standardised questionnaire (DASH,
Michigan Hand Questionnare, Mayo Clinical Scoring Chart). An X-ray will be made
to detect possible DISI-deformity or other anatomical deformities.
Secondary outcome
N.A.
Background summary
Resection of the distal pole of the scaphoid is not a common used procedure and
the long term outcomes and patient*s benefits are unclear. It is also unclear
which patients benefit most from this type of surgery. Currently, distal pole
resection is performed as an isolated procedure for the following indications:
osteoarthritis (OA) of the scaphotrapeziotrapzoid (STT) joint and nonunion of a
scaphoid fracture and it is also used in combination with radioscapholunate
fusion. The main goals of the operation are to relief pain and improve wrist
function.
Study objective
Our aim is to assess the outcomes of distal pole resection of the scaphoid in
patients with symptomatic OA of the STT joint or patients with a fracture
nonunion of the scaphoid. Pain, functional outcome, and radiological outcome
will be described and related to pre- and postoperative deformities. Therefore,
the outcomes will be compared with standardized measurements and the other
hand, except from those patients who underwent this operation or another
operation at the other hand.
Study design
Retrospective observational survey study.
Study burden and risks
Patient*s burden and risk are small. Patients are requested to pay a single
visit (45 min) to the outpatient clinic in which a physical examination of the
wrist function is conducted, an X-ray of the operated wrist is taken, and the
patient is asked to fill in a questionnaire.
Radiation exposure (effective dose) of the wrist X-ray in one direction is
<0.01 mSv. The physical examination is non-invasive. In addition, the
questionnaires are not associated with discomfort. There is no benefit for the
participant. Findings from this study will provide information about the
results of a distal pole resection of the scaphoid in wrist function, pain and
patient satisfaction. Findings can be compared to results of other surgical
procedures which have been described in literature. Based on the findings new
prospective studies will be initiated.
De Boelelaan 1117
Amsterdam 1081 HV
NL
De Boelelaan 1117
Amsterdam 1081 HV
NL
Listed location countries
Age
Inclusion criteria
Patients with symptomatic STT OA or scaphoid fracture nonunion who have undergone a distal pole resection of the scaphoid between 2004 and 2011 in the VU University Hospital or The Hand Clinic Amsterdam.
Exclusion criteria
Patients with orther pathologies or operations of the hand or wrist affecting the STT-joint
Patients who are unable to visit the hospital or full in the questionnaires or undergo the physical tests and X-ray (eg pregnant women)
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL39692.029.12 |