Actively Recruiting

Phase Not Applicable
Age: 18Years - 65Years
All Genders
NCT04576169

Trial Comparing Treatment Strategies in Triangular Fibrocartilage Complex Ruptures

Led by Tampere University Hospital · Updated on 2024-10-09

204

Participants Needed

9

Research Sites

752 weeks

Total Duration

On this page

Sponsors

T

Tampere University Hospital

Lead Sponsor

H

Helsinki University Central Hospital

Collaborating Sponsor

AI-Summary

What this Trial Is About

The trial is a multicentre, randomized, superiority, controlled, participant and outcome assessor (debridement versus placebo surgery randomization cohort) and trialist blinded (both arms) superiority, umbrella trial with two randomized cohorts (1. debridement or placebo surgery, 2. repair or physiotherapy) which both include two 1:1 parallel arms. The primary objective is to investigate the superiority of 1) debridement over placebo surgery and 2) repair over physiotherapy in two randomized cohorts using Patient-Rated Wrist Evaluation (PRWE) at one year post randomisation as the primary outcome.

CONDITIONS

Official Title

Trial Comparing Treatment Strategies in Triangular Fibrocartilage Complex Ruptures

Who Can Participate

Age: 18Years - 65Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Ulnar sided wrist pain
  • Age more than 18 years
  • Suspicion of TFCC tear in clinical examination
  • Ability to fill the Danish, Finnish or Swedish versions of questionnaires
  • Symptom duration more than 3 months, and unsuccessful non-operative treatment
  • Central (Palmer 1A), ulnar (Palmer 1B) or radial (Palmer 1D) TFCC tear explaining the pain in arthroscopy
Not Eligible

You will not qualify if you...

  • Gross instability of DRUJ defined as obvious instability in all forearm and wrist positions
  • Distal (Palmer 1C) TFCC tear found in arthroscopy
  • Ulnocarpal or DRUJ arthrosis (Atzei class 5)
  • Ulnar variance ≥ +2 mm in x-ray
  • Age above 65 years
  • Rheumatoid arthritis or other inflammatory disease affecting radio- or ulnocarpal or DRUJ
  • Lunotriquetral instability diagnosed in arthroscopy
  • ECU instability
  • Massive tear with degenerated edges or frayed tear which cannot be sutured (Atzei class 4A-4B)

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 9 locations

1

Herlev/Gentofte University Hospital of Copenhagen

Copenhagen, Denmark, 2900

Actively Recruiting

2

Hospital Sønderjylland

Sønderborg, Denmark

Actively Recruiting

3

Hospital Nova of Central Finland

Jyväskylä, Central Finland, Finland, 40620

Actively Recruiting

4

Oulu University Hospital

Oulu, North Ostrobothnia, Finland, 90220

Actively Recruiting

5

Kuopio University Hospital

Kuopio, Northern Savonia, Finland, 70029

Actively Recruiting

6

Tampere University Hospital

Tampere, Pirkanmaa, Finland, 33521

Actively Recruiting

7

Turku University Hospital

Turku, Southwest Finland, Finland, 20521

Actively Recruiting

8

Helsinki University Hospital

Helsinki, Uusimaa, Finland, 00029

Actively Recruiting

9

Karolinska University Hospital

Stockholm, Sweden, 171 76

Actively Recruiting

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Research Team

V

Ville M Mattila, M.D., Ph.D., Professor

CONTACT

J

Jarkko Jokihaara, M.D., Ph.D., Professor

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

TRIPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

4

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