Long-term Outcome of Proximal Row Carpectomy. Influence of the Shape of the Capitate

NCT02080663 | Unknown

• 1 other identifier: PRC Van Nuffel De Smet
• Study Type: observational
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

In cases of severe arthritis of the wrist, surgical removal of the scaphoid, lunate and triquetrum bones or proximal row carpectomy (PRC) is a well-known procedure. This procedure converts the wrist in a simple hinged joint but allows us to preserve a certain range of motion in the wrist. One of the main disadvantages of PRC is the risk of developing arthritis between the head of the capitate and the lunate fossa. The long-term follow-up of this procedure has always been a reason for concern. The investigators set up this retrospective study to evaluate the long-term results of the procedure in the investigators institution. Also, the shape of the head of the capitate may play a role in the development of arthritis. A more round shape could distribute the forces more equally and thus prevent the progression of cartilage damage The study hypothesis is:

• PRC preserves range of motion and force in the long term (more than 10 years postoperatively).
• A more round head of the capitate is associated with an increased risk of developing arthritis in the new joint.

Conditions

Wrist Arthritis

Keywords

carpectomy, proximal row, long-term, wrist, arthritis

Outcome Measures

Primary Outcomes (1)

• quick DASH score

  The Disability of Arm, Shoulder and Hand score is a standardised outcome measure for upper limb evaluation.

  more than 10 year after operation

Secondary Outcomes (1)

• Arthritis between capitate and lunate fossa

  10 years after operation

Other Outcomes (1)

• Range of movement

  10 years after operation

Study Arms (1)

Proximal row carpectomy

Proximal row carpectomy

Procedure: Proximal row carpectomy

Interventions

Proximal row carpectomy PROCEDURE

Proximal row carpectomy

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

All patients who underwent a Proximal row carpectomy in our institution more than 10 year ago will be contacted for review

You may qualify if:

• All patients who underwent a Proximal row carpectomy

You may not qualify if:

• Bilateral procedure

Sponsors & Collaborators

• University Hospital Pellenberg: lead

Study Sites (1)

University Hospitals Leuven

Leuven, Vlaams-Brabant, 3000, Belgium

Location

MeSH Terms

Conditions

Arthritis

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases

Study Officials

• Maarten Van Nuffel, M.D.

  Universitaire Ziekenhuizen KU Leuven

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Fellow Upper Limb Surgery

Study Record Dates

• First Submitted: March 4, 2014
• First Posted: March 6, 2014
• Study Start: March 1, 2014
• Primary Completion: June 1, 2014
• Study Completion: July 1, 2014
• Last Updated: March 7, 2014

Record last verified: 2014-03

Locations

BE (1)