The Canadian Prospective Pragmatic Perilunate Outcomes (C3PO) trial; a protocol

Abstract Background Perilunate spectrum injuries (PSI) are uncommon, but high-energy injuries that result in significant functional implications for patients. The existing literature on PSI is limited to small case-series and there are no evidence-based guidelines for management. Methods This manusc...

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Main Authors: Eric C. Mitchell, Isabelle Tottenham, Ruby Grewal, Matthew W. T. Curran, Neil J. White
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Musculoskeletal Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12891-024-08227-x
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author Eric C. Mitchell
Isabelle Tottenham
Ruby Grewal
Matthew W. T. Curran
Neil J. White
author_facet Eric C. Mitchell
Isabelle Tottenham
Ruby Grewal
Matthew W. T. Curran
Neil J. White
author_sort Eric C. Mitchell
collection DOAJ
description Abstract Background Perilunate spectrum injuries (PSI) are uncommon, but high-energy injuries that result in significant functional implications for patients. The existing literature on PSI is limited to small case-series and there are no evidence-based guidelines for management. Methods This manuscript outlines a protocol for a three-armed, national, multi-centre study, which includes a patient injury registry for PSI, as well as associated retrospective and prospective arms. The primary objective is to establish a national injury registry for patients who present with PSI. The secondary objectives are to examine the long-term clinical and radiographic outcomes of PSI, evaluate progression of these outcomes over time, and to examine the impact of specific operative and injury related factors on outcomes. Discussion This paper describes the protocol for a three-armed, multi-centre study of PSI. It outlines the rationale for the study as well as the relevant methodological details. An injury registry involving multiple centres is valuable given this is an uncommon injury with many potential variables affecting outcomes. Registry-based retrospective and prospective studies will benefit from the large clinical database provided by the registry and could be used to guide evidence-based treatment guidelines which are currently lacking in the literature. Trial registration Clinicaltrials.gov identifier: NCT04370626.
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spelling doaj-art-fb1311aba65b4654af854ea7a47981432025-02-02T12:05:37ZengBMCBMC Musculoskeletal Disorders1471-24742025-01-012611610.1186/s12891-024-08227-xThe Canadian Prospective Pragmatic Perilunate Outcomes (C3PO) trial; a protocolEric C. Mitchell0Isabelle Tottenham1Ruby Grewal2Matthew W. T. Curran3Neil J. White4Division of Plastic Surgery, Western UniversityCumming School of Medicine, University of CalgaryDivision of Orthopedic Surgery, Roth, cFMarlane Hand & Upper Limb Center, St Joseph’s Health CareDivision of Plastic Surgery, University of AlbertaDivision of Orthopedic Surgery, University of CalgaryAbstract Background Perilunate spectrum injuries (PSI) are uncommon, but high-energy injuries that result in significant functional implications for patients. The existing literature on PSI is limited to small case-series and there are no evidence-based guidelines for management. Methods This manuscript outlines a protocol for a three-armed, national, multi-centre study, which includes a patient injury registry for PSI, as well as associated retrospective and prospective arms. The primary objective is to establish a national injury registry for patients who present with PSI. The secondary objectives are to examine the long-term clinical and radiographic outcomes of PSI, evaluate progression of these outcomes over time, and to examine the impact of specific operative and injury related factors on outcomes. Discussion This paper describes the protocol for a three-armed, multi-centre study of PSI. It outlines the rationale for the study as well as the relevant methodological details. An injury registry involving multiple centres is valuable given this is an uncommon injury with many potential variables affecting outcomes. Registry-based retrospective and prospective studies will benefit from the large clinical database provided by the registry and could be used to guide evidence-based treatment guidelines which are currently lacking in the literature. Trial registration Clinicaltrials.gov identifier: NCT04370626.https://doi.org/10.1186/s12891-024-08227-xWristPerilunate dislocationPerilunate fracture-dislocationOperative treatment
spellingShingle Eric C. Mitchell
Isabelle Tottenham
Ruby Grewal
Matthew W. T. Curran
Neil J. White
The Canadian Prospective Pragmatic Perilunate Outcomes (C3PO) trial; a protocol
BMC Musculoskeletal Disorders
Wrist
Perilunate dislocation
Perilunate fracture-dislocation
Operative treatment
title The Canadian Prospective Pragmatic Perilunate Outcomes (C3PO) trial; a protocol
title_full The Canadian Prospective Pragmatic Perilunate Outcomes (C3PO) trial; a protocol
title_fullStr The Canadian Prospective Pragmatic Perilunate Outcomes (C3PO) trial; a protocol
title_full_unstemmed The Canadian Prospective Pragmatic Perilunate Outcomes (C3PO) trial; a protocol
title_short The Canadian Prospective Pragmatic Perilunate Outcomes (C3PO) trial; a protocol
title_sort canadian prospective pragmatic perilunate outcomes c3po trial a protocol
topic Wrist
Perilunate dislocation
Perilunate fracture-dislocation
Operative treatment
url https://doi.org/10.1186/s12891-024-08227-x
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