Survival Clinical Trial
Official title:
Total Wrist Denervation: Survival Study and Functional Outcomes
The purpose of the study is to evaluate the long-term effectiveness of total wrist
denervation on pain by assessing the surgery survival.
The residual functional wrist's quality and the patients' satisfaction will also be evaluate.
The degenerative diseases of the wrist are numerous and include both post-traumatic
osteoarthritis lesions and inflammatory diseases. In any case, one of the main reasons for
consultation is pain. In case of inefficiency of a well-conducted medical treatment (splints,
anti-inflammatories, infiltrations), surgical management remains difficult because of the
multitude of treatments that can be offered: partial or total arthrodesis of the wrist,
prosthetic arthroplasties, pyrocarbon implants or proximal row carpectomy. But these
treatments are heavy and can potentially be sources of complications such as stiffness, loss
of strength or progressive wear of the implant.
Total wrist denervation is an alternative since 1966. The original technique follows an
anatomical study of the innervation of the upper limb. This technique has been proven to
significantly improve pain without major after effects. Several teams demonstrated a decrease
in pain associated with conserved strength and mobility, but few studies have studied the
long-term results of this technique, especially on the absence of residual pain.
The purpose of this study is to evaluate the long-term effectiveness of denervation on pain
by assessing the surgery survival, the residual functional wrist's quality and the patients'
satisfaction.
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