The purpose of this study is to investigate whether treatment of scaphoid non-unions with a vascularized bone grafts improves patient reported pain and disability compared to treatment with a non-vascularized bone graft. Secondary objectives are to examine if there is any difference in the overall rate and time to union, range of motion, grip strength, or complication rates between the two groups. In addition, this is the first prospective randomized study to directly compare the two techniques. This is also the first study to use standardized methods of assessing union (based on computerized tomography), standardized methods of collecting objective patient data, and utilizing validated patient questionnaires to assess pain and disability.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
40
Vascularized bone graft in the treatment of Scaphoid Non-Union
Non-Vascularized Bone Graft in the treatment of Scaphoid Non-unions
Hand and Upper Limb Centre, St Joseph's Health Care
London, Ontario, Canada
RECRUITINGPatient Rated Wrist Evaluation
Patients will fill out the patient rated wrist Evaluation Questionnaire
Time frame: Change in PRWE score at time of Surgery (day 1) compared to two years post operation.
Objective Measures
* ROM * Grip Strength * Dexterity
Time frame: Change in strength, ROM, and Dexterity from time of surgery (day 1) compared to two years post operation.
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