Arthroscopic Wafer and Ulnar Shortening in Ulnar Abutment

Assiut University

Status: Unknown

Conditions: Wrist Impaction

Treatments: Procedure: wafer procedure; Procedure: arthroscopy and ulnar shortening osteotomy

Study type: Interventional

Funder types: Other

Identifiers

NCT03168646

WAFER

Details and patient eligibility

About

there are many management options of ulnocarpal abutment depends on clinical evaluation and imaging of this joint. Arthroscopic treatment is the simplest solution for these conditions.

Enrollment: 30 estimated patients

Sex: All

Ages: 20 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• obvious ulnar abutment syndrome with ulnar side wrist pain

Exclusion criteria

• ulnar minus or neutral variance
• central and radial wrist pain
• osteoarthritis of the wrist.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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30 participants in 2 patient groups

group 1

Active Comparator group

Description:

wafer group procedure using an arthroscope through portal(radial to extensor carpi ulnaris, debridement of triangular fibro-cartilage complex 3-4 mm is shaved from the dome of the ulna by 2.9 bur.

Treatment:

Procedure: wafer procedure

group 2

Active Comparator group

Description:

ulnar shortening group :this is the most logical technique, dorsoulnar incision is made on the distal one-third of the forearm then a 6 hole 3.5 mm Dcp plate is position,osteotomy using oscillating saw in z-shaped manner.

Treatment:

Procedure: arthroscopy and ulnar shortening osteotomy