Randomized Comparison of PARtial Wrist Fusion With or Without Triquetral Excision (PARTE)
NCT04580225 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 170
Last updated 2025-11-18
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.
Conditions
- Wrist Arthritis
- Wrist Arthropathy
- Scapholunate Advanced Collapse
- Scaphoid Nonunion
- Post-traumatic; Arthrosis
- Arthritis
- Musculoskeletal Diseases
- Joint Diseases
Interventions
- PROCEDURE
-
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.
- PROCEDURE
-
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.
Sponsors & Collaborators
-
Arthritis Society Canada
collaborator UNKNOWN -
Wrist Evaluation Canada (WECAN)
collaborator UNKNOWN -
University of Alberta
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-01-07
- Primary Completion
- 2027-04-30
- Completion
- 2027-04-30
Countries
- Canada
Study Locations
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