About this trial
Wrist osteoarthritis is often caused by past trauma to the wrist. The primary symptom is joint pain. Salvage surgery is the final solution if exercise therapy, analgesics, orthoses, or cortisone injections fail to relieve pain.
This trial aims to evaluate if a web-based rehabilitation protocol is non-inferior to standard, face-to-face, rehabilitation in terms of patient-reported outcome after surgical salvage procedures.
Eligibility criteria
Qualifiers
Four corner fusion (4CF)
Lunate-Capitate fusion (LCF)
Scaphoid-Trapezium-Trapezoid fusion (STT)
Radius-Scaphoid-Lunate fusion (RSL)
Disqualifiers
Unstable rheumatoid arthritis or other chronic inflammatory arthritis. However, stable inflammatory arthritis with unchanged medication during the last 12 weeks is not an exclusion criteria.
History of psoriasis arthritis, gout, or pseudogout affecting the hand or wrist.
Symptomatic OA in nearby joints.
Inability to co-operate with the follow-up protocol (language difficulties, severe psychiatric disorder, cognitive impairment, drug addiction, inability to use web-based tools).
Trial design
Treatments tested in this trial
- Web-based rehabilitation
- Standard rehabilitation
Treatment groups
Locations
Sponsors and collaborators
Karolinska Institutet
Lead sponsor
Region Stockholm
Collaborator