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Randomized Comparison of PARtial Wrist Fusion With or Without Triquetral Excision (PARTE)
Sponsor: University of Alberta
Summary
This randomized clinical trial (RCT) aims to compare clinical and radiographic outcomes of different partial wrist fusion techniques in participants with post-traumatic wrist arthritis. Participants with stage II or III scapholunate advanced collapse (SLAC) or scaphoid nonunion advanced collapse (SNAC) who meet the eligibility criteria will be randomly assigned to one of two parallel groups: Group A (partial wrist arthrodesis without triquetral excision i.e. four-corner arthrodesis), or Group B (partial wrist arthrodesis with triquetral excision i.e. three-corner or capitolunate arthrodesis with triquetral excision). The results of this study will provide evidence to guide surgeons in determining the ideal wrist fusion technique in the management of patients with post-traumatic wrist arthritis requiring surgery.
Key Details
Gender
All
Age Range
18 Years - 75 Years
Study Type
INTERVENTIONAL
Enrollment
170
Start Date
2021-01-07
Completion Date
2027-04
Last Updated
2025-11-18
Healthy Volunteers
No
Conditions
Interventions
Four-Corner Arthrodesis
Participants in Group A will receive a four-corner arthrodesis (fusion of the capitate, hamate, lunate, and triquetrum) with excision of the scaphoid.
Three-Corner or Capitolunate Arthrodesis with Triquetral Excision
Participants in Group B will receive a three-corner arthrodesis (fusion of the capitate, hamate, and lunate) or capitolunate arthrodesis (fusion of the capitate and lunate) with excision of the scaphoid and triquetrum.
Locations (6)
Peter Lougheed Centre
Calgary, Alberta, Canada
South Health Campus
Calgary, Alberta, Canada
Western Hand & Upper Limb Facility, Sturgeon Community Hospital
St. Albert, Alberta, Canada
Lawson Health Research Institute
London, Ontario, Canada
The Ottawa Hospital - Civic Campus
Ottawa, Ontario, Canada
University of Saskatchewan
Saskatoon, Saskatchewan, Canada