Pain Relief and Functional Outcome After Partial Denervation of the Wrist

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-12-31

Study Completion Date

2021-08-31

Brief Summary

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Prospective study on the effect of partial wrist denervation (ie combined anterior and posterior interosseous neurectomy) on pain relief on functional outcome in patient with wrist osteoarthritis. The impact of psychological factors on postoperative outcome will be studied.

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Detailed Description

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Conditions

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Wrist Arthritis

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Partial denervation of the wrist joint

Patients will be operated with a partial denervation of the wrist through a single dorsal approach.

Group Type EXPERIMENTAL

Partial denervation of the wrist joint

Intervention Type PROCEDURE

Partial denervation of the wrist (posterior and anterior interosseous neurectomy) through a single dorsal approach.

Interventions

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Partial denervation of the wrist joint

Partial denervation of the wrist (posterior and anterior interosseous neurectomy) through a single dorsal approach.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Chronic wrist pain (≥6 months) due to posttraumatic arthritis after distal radius fracture or SLAC/SNAC arthritis or arthritis due to Mb Preiser/Mb Kienböck where surgical unloading of the bone isn't possible.
2. Pain is refractory to nonsurgical management such as bracing, corticosteroid injection, oral analgesics, NSAIDs, physiotherapy.

Exclusion Criteria

1. Rheumatoid or other inflammatory arthritis.
2. Previous wrist surgery with simultaneous PIN/AIN neurectomy.
3. Simultaneous arthritis or symptomatic instability of the distal radio ulnar (DRU) joint on the ipsilateral side.
4. Inability to co-operate with the follow-up protocol (language difficulties, severe psychiatric disorder, cognitive impairment, drug addiction).
5. Patient's wish for a definite procedure.

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No