Osteoarthritis Thumb Clinical Trial
Official title:
Comparison of Arthroscopic Debridement and Arthroscopic Hemi-Trapeziectomy With Mini TightRope on Patients With Thumb Carpometacarpal Joint Osteoarthritis - A Prospective Randomized Single-Blinded Controlled Trial
Patients with thumb carpometacarpal joint osteoarthritis usually suffer from pain, joint
enlargement, inflammation, deformity and loss of function. Conservative treatments usually
are the first-line interventions, unfortunately some of the patients do not response to such
treatments and surgical treatment will then be considered.
Compare to other traditional surgical techniques, arthroscopic techniques has resulted in the
potential to treat osteoarthritis in a minimally invasive approach, avoiding the need for a
larger incision. Other advantages of arthroscopy include less scarring and joint contracture,
less risk of neurovascular injury, improved appearance, limited morbidity and quicker
recovery. Although arthroscopic methods have been proved to be effective, there is lack of
high-level evidence based studies to conclude one operation is superior to another. Hence,
this study is designed to investigate outcomes of the two arthroscopic surgical methods
(arthroscopic debridement vs arthroscopic hemi-trapeziectomy with Mini TightRope). The result
of this study is expected to provide significant evidence based clinical data for surgeons
worldwide on treating the thumb carpometacarpal joint osteoarthritis.
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