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The goal of this observational study is to learn about functional and patient reported outcomes in patient undergoing total wrist replacement with the KinematX total wrist replacement study.
The main questions it aims to answer are:
Participants will be followed according to standard of care and preoperative and post-operative information for up to 10 years after surgery will be collected and entered into an electronic data base. Patients are eligible to enroll into the registry before or after they have had their wrist replacement surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| KinematX patients | Patients undergoing total wrist replacement with the KinematX implant. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| KinematX total wrist arthroplasty system | Device | The KinematX total wrist implant is a joint metal/polymer semi-constrained cemented prosthesis that utilizes an articulation that mimics the midcarpal joint instead of the radiocarpal joint. |
| Measure | Description | Time Frame |
|---|---|---|
| Range of Motion (as assessed by physician) | Flexion, Extension, Ulnar, Radial | Up to 10 years |
| Measure | Description | Time Frame |
|---|---|---|
| PROMIS Upper Extremity Physical Function 7a | 7 questions designed to understand the patient's physical function in the upper extremity specifically; population average t-score is 50, with a standard deviation of 10; higher scores are better. | 3 months, 6 months, yearly up to 10 years post-surgery |
| PROMIS Pain Interference 8a |
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Inclusion Criteria:
one of the following diagnoses and planned (or previously completed) total wrist arthroplasty with the KinematX total wrist:
Exclusion Criteria:
<18 years of age
>85 years of age
Prisoners
Children
Pregnant women
Contraindications to receiving the KinematX:
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Patients aged 18-85 with planned (or previously completed) total wrist arthroplasty with the KinematX total wrist are eligible for enrollment into this study
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Brian Smekal | Contact | +1 952-836-5698 | bsmekal@extremitymedical.com |
| Name | Affiliation | Role |
|---|---|---|
| Brian Smekal | Extremity Medical | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Loma Linda University | Recruiting | Loma Linda | California | 92354 | United States |
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8 questions designed to understand how any pain experienced interferes with the patient's day to day life; population average t-score is 50, with a standard deviation of 10; lower scores are better |
| 3 months, 6 months, yearly up to 10 years post-surgery |
| PROMIS Global 10 | 10 questions to assess the patient's global health with subscales for physical health and mental health; Physical health t-scores range from 16.2 to 67.7; Mental health t-scores range from 21.2 to 67.6; higher scores are better | 3 months, 6 months, yearly up to 10 years post-surgery |
| Patient-Rated Wrist Evaluation Score (PRWE) | 15 questions that assess pain and function; total scores can range from 0-100; lower scores are better | 3 months, 6 months, yearly up to 10 years post-surgery |
| Hospital for Special Surgery Wrist Surgery Expectations Survey | 22 questions that assess how the patient expects to benefit from the surgery and a corresponding post-operative instrument that asks about actual experience; score range from 22 to 110; lower scores are better | Pre-operative and yearly up to 10 years post-surgery |
| Percentage of patients experiencing post-operative complications | 3 months, 6 months, yearly up to 10 years post-surgery |
| Percentage of patients requiring revision surgery for their implant (with or without implant replacement) | 3 months, 6 months, yearly up to 10 years post-surgery |
| Grip and pinch strength (as assessed by physician) | Grip and pinch strength | 3months, 6 months, yearly up to 10 years post-surgery |
| Florida Orthopaedic Institute | Recruiting | Tampa | Florida | 33637 | United States |
|
| Franciscan Health | Recruiting | Indianapolis | Indiana | 46237 | United States |
|
| Hospital for Special Surgery | Recruiting | New York | New York | 10021 | United States |
|
| ID | Term |
|---|---|
| D002349 | Carpal Tunnel Syndrome |
| D001168 | Arthritis |
| D010003 | Osteoarthritis |
| ID | Term |
|---|---|
| D020423 | Median Neuropathy |
| D020422 | Mononeuropathies |
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
| D009422 | Nervous System Diseases |
| D009408 | Nerve Compression Syndromes |
| D012090 | Cumulative Trauma Disorders |
| D013180 | Sprains and Strains |
| D014947 | Wounds and Injuries |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
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