Radioscapholunate Fusions After Wrist Trauma

Study Overview
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Brief Summary
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The investigators conduced a clinical trial to evaluate the clinical and radiographic results after radioscapholunate fusion in case of posttraumatic radiocarpal osteoarthritis. Because of poor clinical result, many authors upgrade the procedure including excision of the distal pole of the scaphoid and later excision of the entire triquetrum. Only one study compared the three procedures in 17 patients. The investigators performed the same comparison in 85 patients with a mean follow up of 9,1 years (1-23)

Detailed Description
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The investigators compared three populations: patients with radioscapholunate (RSL) fusion alone, patients with RSLfusion and distal scaphoid excision and patient with RSL fusion, distal scaphoid excision and excision of the triquetrum. The investigators performed clinical (pain, grasp strength, wrist motion), functional and radiographic (midcarpal osteoarthritis and radiocarpal nonunions) evaluation

Official Title
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Radioscapholunate Fusions After Wrist Trauma: Long-term Clinical and Radiographic Results.

Conditions
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Posttraumatic Radiocarpal Osteoarthritis

Participation Criteria
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Eligibility Criteria
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Inclusion criteria: posttraumatic radiocarpal osteoarthritis Patients who underwent radioscapholunate fusion Exclusion criteria: Patients with radiocarpal osteoarthritis due to rheumatoid or inflammatory disease and Kienböck disease Patients with posttraumatic radiocarpal osteoarthritis managed with other surgery

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| presence of mediocarpal osteoarthritis | To evaluate the long-term radiographic results of post-traumatic radio scapholunate | 1 day | 
| presence of scapho-trapezoidal trapezoid | To evaluate the long-term radiographic results of post-traumatic radio scapholunate | 1 day | 
| presence of non-consolidation of radio-scapho-lunar arthrodesis | To evaluate the long-term radiographic results of post-traumatic radio scapholunate | 1 day | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Assess overall survival | To evaluate the overall survival (excluding total wrist arthrodesis) of post-traumatic radio scapholunate | 1 day | 
| the prognostic factors of good clinical | To evaluate the prognostic factors of good clinical (ie absence of osteoarthritis or good consolidation of arthrodesis) | 1 day | 
| the prognostic factors of radiographic evolution | To evaluate the prognostic factors of radiographic evolution (ie absence of osteoarthritis or good consolidation of arthrodesis) | 1 day | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Radioscapholunate, Fusion, Arthrodesis, Radiocarpal osteoarthritis, Partial radiocarpal fusion