Web-based Rehabilitation After Surgical Salvage Procedures for Wrist Osteoarthritis
Key facts
- Who runs it
- Karolinska Institutet
- Where
- Stockholm, SwedenSee the site
- 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
Show all 11 criteriaShow less
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
Where in Sweden
- Department of hand handsurgery, SödersjukhusetStockholm, SwedenContact: Tobias M TandrupTaking people
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
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Contact the study team: see the registry record → Contacts and Locations
Print a page for my doctorData 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