Early Active Controlled Motion (EACM) Rehabilitation Protocol Post Open Reduction and Internal Fixation (ORIF) of Scaphoid Fractures: A Pilot Study

University of Florida

Status: Withdrawn

Conditions: Scaphoid Fixation

Treatments: Other: Early Active Controlled Motion (EACM)

Study type: Interventional

Funder types: Other; Industry

Identifiers

NCT03996512

IRB201900006

Details and patient eligibility

About

There is poor research supporting the benefits of Early Active Controlled Motion (EACM) protocols post operative scaphoid fixation. Advances in surgical fixation technique for scaphoid fractures should allow for start of earlier mobilization, however there is little evidence in the literature that supports the use of these protocols within the early phases of healing. The study uses a pre-experimental design with purposeful sample population recruitment.

Sex: All

Ages: 18 to 100 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Date of injury and diagnosis: scaphoid fracture less than 3 weeks old
• Waist fractures in the middle 1/3 and distal pole 1/3 of scaphoid bone.
• Surgical procedure includes ORIF with screw fixation and/or percutaneous pin with screw fixation.
• To be included in the study the patient needs to have started rehab within the first 10 days after surgery date.

Exclusion criteria

• Proximal pole scaphoid fracture
• Past medical history of diabetes and other peripheral vascular disorders.
• History of osteopenia and osteoporosis.
• Previously failed ORIF of scaphoid
• Neurovascular or nerve lesion to the involved upper extremity
• Cognitive deficits related to memory, attention span, judgment as documented in the EMR or need for a legal guardian to be a medical proxy

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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0 participants in 1 patient group

Post scaphoid fracture with screw fixation

Experimental group

Description:

Post surgical rehabilitation using an early active controlled wrist motion rehab protocol that limits the amount of proximal carpal row loading forces

Treatment:

Other: Early Active Controlled Motion (EACM)