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Web-based Rehabilitation After Surgical Salvage Procedures for Wrist Osteoarthritis

Key facts

Who runs it
Karolinska Institutet
Where
Sweden1 site in 1 countryChoose a country to see its sites
Trial code
Status
Recruiting
People taking part
90 people, planned
Started
2 Apr 2025
Expected to end
31 Dec 2027
Type of study
Interventional, 2 groupsOne group gets an existing treatment, for comparison.
Treatments tested
  • Web-based rehabilitation
  • Standard rehabilitation
Record updated
7 October 2026

Who can take part

Age
18 years and older
Sex
Women and men
Healthy volunteers
Cannot take part

The registry criteria, word for word

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Who can take part

  • Planned surgery:
  • Four corner fusion (4CF)
  • Lunate-Capitate fusion (LCF)
  • Scaphoid-Trapezium-Trapezoid fusion (STT)
  • Radius-Scaphoid-Lunate fusion (RSL)
  • Proximal Row Carpectomy (PRC)
  • Access to digital identification

Who cannot take part

  • Unstable rheumatoid arthritis or other chronic inflammatory arthritis. However, stable inflammatory arthritis with unchanged medication during the last 12 weeks is not an exclusion criteria
  • History of psoriasis arthritis, gout, or pseudogout affecting the hand or wrist
  • Inability to co-operate with the follow-up protocol (language difficulties, severe psychiatric disorder, cognitive impairment, drug addiction, inability to use web-based tools)
  • Symptomatic OA in nearby joints

This trial has no sites in United States.

It has sites in one country. Choose a country to see its sites.

About the trial

What the trial wants to find out

Wrist osteoarthritis is often caused by past trauma to the wrist. The primary symptom is joint pain. Salvage surgery is the final solution if exercise therapy, analgesics, orthoses, or cortisone injections fail to relieve pain.

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This trial aims to evaluate if a web-based rehabilitation protocol is non-inferior to standard, face-to-face, rehabilitation in terms of patient-reported outcome after surgical salvage procedures.

The 2 groups in the trial

  • Web-based rehabilitationTreatment being tested

    The web-based platform contains text, images, and videos which will educate and inform the patient regarding the operation and rehabilitation. There will be no scheduled physical consultations, however participants may request additional video consultations and can send text messages to the hand therapist.

  • Standard rehabilitationExisting treatment, for comparison

    The control group receive the same education and exercises. The information is provided verbally and a booklet with images of the exercises is given. However, they do not get access to the web-based platform and follow-up appointments are face-to-face at the clinic. At the follow-up appointments, participants perform their exercises, and adjustments and corrections are made when needed.

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

Print a page for my doctor

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Web-based Rehabilitation After Surgical Salvage Procedures for Wrist Osteoarthritis: A Randomized Controlled Trial
Record updated
7 October 2026