Arthroscopic Scaphoid Grafting Versus Open Grafting in Scaphoid Non Union

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-09-19

Study Completion Date

2023-03-10

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

the investigators compare the arthroscopic grafting technique with the traditional open technique in th treatment of scaphoid non union as regards the union rate, time to union and functional outcomes to provide the best intervention to the patient

Related Clinical Trials

Explore similar clinical trials based on study characteristics and research focus.

Vascularized Bone Grafts for Treatment of Scaphoid Nonunion

NCT05358015

Scaphoid Fracture

UNKNOWN NA

Outcomes of Three Corner Fusion Without Triquetrum Excision Versus Conventional Four Corner Fusion in SNAC Wrist

NCT05362240

Scaphoid Fracture

COMPLETED NA

Lunocapitate Fusion in Snac Wrist

NCT07335783

Snac Wrist

NOT_YET_RECRUITING NA

Union Rate of Scaphoid Non-Union Fracture in Adults by Herbert Screw Versus Volar Buttress Plate

NCT07039695

Union Scaphoid Non-Union Fracture +2 more

COMPLETED NA

Arthroscopic vs. Open Bone Grafting for Scaphoid Delayed/Nonunion

NCT05574582

Scaphoid Fracture Scaphoid Nonunion

RECRUITING NA

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

The treatment of scaphoid non union has no gold standard technique so in this study the investigators try to compare the arthroscopic and the open grafting techniques to determine the better technique to achieve union, time to union and the better functional outcomes including wrist range of motion and grip strength as a primary outcome and the secondary outcomes are the operative time, the complications and radiological correction of the hum-back deformity if present.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Scaphoid Fracture Non Union

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

2 groups one with the arthroscopic grafting combined with percutaneous fixation, the second with opend grafting and fixation by K wires.

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

arthroscopic A group

arthroscopic bone grafting combined with percutaneous K wires fixation for scaphoid non union patients

Group Type EXPERIMENTAL

Arthroscopic grafting and k wires fixation

Intervention Type PROCEDURE

Arthroscopic midrcarpal scaphoid non union debridment and iliac cancellous bone grafting with K wires fixation

open O group

open volar or dorsal scaphoid grafting with K wires fixation for scaphoid non union patients

Group Type EXPERIMENTAL

open scaphoid grafting with K wires fixation

Intervention Type PROCEDURE

open surgical volar or dorsal scaphoid non union site debridment and application of iliac bone graft and K wires fixation

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Arthroscopic grafting and k wires fixation

Arthroscopic midrcarpal scaphoid non union debridment and iliac cancellous bone grafting with K wires fixation

Intervention Type PROCEDURE

open scaphoid grafting with K wires fixation

open surgical volar or dorsal scaphoid non union site debridment and application of iliac bone graft and K wires fixation

Intervention Type PROCEDURE

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* scaphoid non-union cases
* 16 years or older
* males or females
* independent from chronicity or non-union location and the investigators defined the non union as failure to reach scaphoid union up to 6 months

Exclusion Criteria

.Revision scaphoid non-union cases.

* Previously operated wrist for any other pathology
* Avascular necrosis (AVN) confirmed by intraoperative inspection.
* Scaphoid non-union advanced collapse (SNAC) stage 2 and higher.
* Any associated wrist pathology that required separate treatment surgical approach.

Minimum Eligible Age

16 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No