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RECRUITING Not applicable ClinicalTrials.gov

Web-based Rehabilitation After Surgical Salvage Procedures for Wrist Osteoarthritis

Sponsor: Karolinska Institutet • ClinicalTrials.gov ID: NCT06814821

Registry updated: 2026-10-07
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Description

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.

Interventions

  • Web-based rehabilitation (Other)
    Participants perform their rehabilitation independently with the instructions from the web-based platform.
  • Standard rehabilitation (Other)
    Participants attend physical visits at the clinic to get instructions and support in their rehabilitation. Written and verbal instructions will be given.

Eligibility criteria

Inclusion Criteria: * Planned surgery: * Four corner fusion (4CF) * Lunate-Capitate fusion (LCF) * Scaphoid-Trapezium-Trapezoid fusion (STT) * Radius-Scaphoid-Lunate fusion (RSL) * Proximal Row Carpectomy (PRC) * Access to digital identification. Exclusion Criteria: * 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).

Conditions

Wrist Osteoarthritis

Locations

  • Department of hand handsurgery, Södersjukhuset — Stockholm, Sweden
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Official Source

Data sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

View Official Record