Reconstruction of Chronic Scapholunate Ligament Injuries in the Wrist: A Randomized Controlled Trial Comparing The Berger Capsulodesis and Three-Ligament-Tenodesis

What this Trial Is About

Researchers are comparing two surgical techniques commonly used to reconstruct the scapholunate (SL) ligament in the wrist. This randomized multicenter study focuses on patients with complete dynamic or static but reducible SL ligament injuries that are symptomatic and have persisted for more than six weeks. The goal is to evaluate patient-reported, clinical, and radiological outcomes over a long term, up to 10 years after treatment. Participants are randomly assigned to receive one of two surgical treatments: Berger capsulodesis or three ligament tenodesis (3LT). Both procedures aim to repair the SL ligament, and the study compares their effects on function and wrist stability. The treatments are performed and monitored under controlled conditions, with follow-ups scheduled regularly throughout the 10-year period. During the study, participants will undergo assessments including the Disabilities of the Arm, Shoulder and Hand Score (QuickDASH), grip strength measurements, SL angle evaluations, the Patient-Rated Wrist Evaluation (PRWE) score, and wrist motion analysis. These assessments occur at each follow-up visit from the start through 10 years post-treatment. The study also monitors safety and clinical progress, ensuring comprehensive data collection on recovery and wrist function.

Danish Multicenter Scapholunate Ligament Study