Open vs Arthroscopic Surgery for Perilunate Injury
Trial Summary
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
What data supports the effectiveness of arthroscopic surgery for perilunate injuries?
Research suggests that arthroscopic surgery for perilunate injuries can achieve similar results to the traditional open surgery, with less tissue damage and potentially better wrist movement and grip strength. This minimally invasive approach may be a reliable option for treating these injuries.12345
Is surgery generally safe for humans?
Research shows that minimally invasive surgeries like laparoscopy are generally safe and often have fewer complications compared to open surgeries, such as laparotomy, especially in treating conditions like endometrial cancer. These techniques are associated with benefits like less blood loss and shorter hospital stays.678910
How does arthroscopic surgery differ from open surgery for perilunate injuries?
Arthroscopic surgery for perilunate injuries is a minimally invasive technique that aims to reduce tissue damage and preserve blood supply compared to open surgery, which can lead to joint stiffness and scarring. This approach uses small incisions and a camera to guide the procedure, potentially offering similar outcomes to open surgery with less recovery time and fewer complications.123411
What is the purpose of this trial?
Perilunate injuries can be debilitating injuries that involve the carpus. These can limit patients' functionality both acutely and long-term. Not only do their potential for nerve injury increase risk of lasting weakness and chronic pain, but their complex surrounding involving the carpus also leads to potential for misalignment when healing. The approach for treating perilunate injuries often relies on internal fixation, prompting the need for surgery. However, there is no clear recommendation for whether to pursue open or arthroscopic surgery as both offer benefits and pose risks.The aim of this study is to determine the similarities and differences in outcomes for management of perilunate injuries.
Research Team
Nicole Zelenski, MD
Principal Investigator
Assistant Professor
Eric R Wagner, MD
Principal Investigator
Assistant Professor
Eligibility Criteria
This trial is for adults over 18 with perilunate injuries needing surgery. Participants will be randomly assigned to receive either open or arthroscopic surgery. Excluded are prisoners, pregnant women, minors, cognitively impaired individuals, and those who can't be randomly assigned due to specific surgical needs.Inclusion Criteria
Exclusion Criteria
Timeline
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants undergo either open or arthroscopic surgical intervention for perilunate injuries
Follow-up
Participants are monitored for safety and effectiveness after surgery, including assessments of pain and range of motion
Long-term follow-up
Participants are followed for up to 1 year to assess long-term outcomes and functional healing
Treatment Details
Interventions
- Arthroscopic surgery
- Open Surgery
Find a Clinic Near You
Who Is Running the Clinical Trial?
Emory University
Lead Sponsor