Scapholunate Ligament Reconstruction: Early Dart Throwing Motion Versus Motion in Anatomical Planes
NCT ID: NCT06590701
Last Updated: 2024-09-19
Study Results
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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RECRUITING
NA
40 participants
INTERVENTIONAL
2023-07-01
2028-12-31
Brief Summary
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Detailed Description
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In scapholunate (SL) ligament reconstruction using the flexor carpi radialis tendon, the SL interval is immobilised using 2 Kirschner wires for 8-10 weeks to relieve the strain on the ligament and allow it to heal. From the 2nd postoperative week, mobilisation is started using DTM mobilisation or mobilisation in the anatomical plane. The aim of the study is to investigate in a randomised trial whether mobilisation in the anatomical plane produces the same postoperative results.
In this project, the investigators will compare two types of mobilisation in the rehabilitation of SL ligament reconstruction. The participants will be randomised to two treatment groups. This procedure therefore corresponds to a risk category A in 'other' clinical trials according to Chapter 4 ClinO.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Early dart throwing motion
From the 2nd postoperative week, the 'Dart-Throwing Motion' is started, from radial extension to ulnar flexion.
Early dart throwing motion-mobilization
We compare two different mobilisations in the rehabilitation of patients following scapholunate ligament reconstruction
Mobilisation in anatomical planes
From the 2nd postoperative week, movements are started in the anatomical plane of the hand (standard rehabilitation)
Early dart throwing motion-mobilization
We compare two different mobilisations in the rehabilitation of patients following scapholunate ligament reconstruction
Interventions
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Early dart throwing motion-mobilization
We compare two different mobilisations in the rehabilitation of patients following scapholunate ligament reconstruction
Eligibility Criteria
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Inclusion Criteria
* at least 18 years
* Written informed consent
Exclusion Criteria
* Refusal of participation
* Pregnancy
18 Years
ALL
Yes
Sponsors
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Lisa Reissner
OTHER
Responsible Party
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Lisa Reissner
Dr. med.
Principal Investigators
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Lisa Reissner, PD
Role: PRINCIPAL_INVESTIGATOR
Balgrist University Hospital
Locations
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Balgrist University Hospital
Zurich, Canton of Zurich, Switzerland
Countries
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Central Contacts
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Facility Contacts
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References
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Crisco JJ, Wilcox BJ, Beckwith JG, Chu JJ, Duhaime AC, Rowson S, Duma SM, Maerlender AC, McAllister TW, Greenwald RM. Head impact exposure in collegiate football players. J Biomech. 2011 Oct 13;44(15):2673-8. doi: 10.1016/j.jbiomech.2011.08.003. Epub 2011 Aug 27.
Werner FW, Green JK, Short WH, Masaoka S. Scaphoid and lunate motion during a wrist dart throw motion. J Hand Surg Am. 2004 May;29(3):418-22. doi: 10.1016/j.jhsa.2004.01.018.
Crisco JJ, Coburn JC, Moore DC, Akelman E, Weiss AC, Wolfe SW. In vivo radiocarpal kinematics and the dart thrower's motion. J Bone Joint Surg Am. 2005 Dec;87(12):2729-2740. doi: 10.2106/JBJS.D.03058.
Moritomo H, Apergis EP, Herzberg G, Werner FW, Wolfe SW, Garcia-Elias M. 2007 IFSSH committee report of wrist biomechanics committee: biomechanics of the so-called dart-throwing motion of the wrist. J Hand Surg Am. 2007 Nov;32(9):1447-53. doi: 10.1016/j.jhsa.2007.08.014.
Other Identifiers
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SL-Reko
Identifier Type: -
Identifier Source: org_study_id
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