Thumb Osteoarthritis Clinical Trial
Official title:
A Randomized Comparison Between Trapeziectomy and Trapeziometacarpal Limited Excision for Thumb Base Osteoarthritis
NCT number | NCT04210687 |
Other study ID # | TEvsTLE |
Secondary ID | |
Status | Recruiting |
Phase | N/A |
First received | |
Last updated | |
Start date | March 9, 2020 |
Est. completion date | February 1, 2028 |
A randomized comparison between trapeziectomy and trapeziometacarpal limited excision for thumb base osteoarthritis in 90 patients.
Status | Recruiting |
Enrollment | 90 |
Est. completion date | February 1, 2028 |
Est. primary completion date | February 1, 2026 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Painful osteoarthritis in the thumb base and radiological arthritis (Eaton Littler class 2-3) and clinical signs of thumb base osteoarthritis (pain at palpation of the thumb base joint and pain during grinding test). - Pain at rest. - Conservative treatment >6 months (activity modification, splinting, painkillers or thumb base steroid or PRP injection) Exclusion Criteria: - Rheumatoid arthritis. - Ongoing infection in the hand or wrist. - - History of gout or pseudo gout. - Inability to co-operate with the follow-up protocol (language difficulties, severe psychiatric disorder, cognitive impairment, drug addiction). - Intra-articular injection in the affected joint within 6 months. - Eaton Littler class 4 (STT joint involved). |
Country | Name | City | State |
---|---|---|---|
Sweden | Karolinska Institutet | Stockholm |
Lead Sponsor | Collaborator |
---|---|
Karolinska Institutet |
Sweden,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in pain on load NRS (numerical rating scale) | Change in rated pain on load from preoperatively to 1, 3 and 5 years postoperatively | Preoperatively, 1, 3 and 5 years postoperatively | |
Secondary | Change in Nelson Thumb score | 0-100 p, higher score = less disability | Preoperatively, 1, 3 and 5 years postoperatively | |
Secondary | Change in EQ-5D | Weight mean value: 0=dead, 1= healthy | 1, 3 and 5 years postoperatively | |
Secondary | Change in DASH - Disability of the Arm, Shoulder and Hand | 0-100 p, higher score = more disability | Preoperatively, 1, 3 and 5 years postoperatively | |
Secondary | Change in PRWHE - Patient-Rated Wrist and Hand Evaluation | 0-100 p, higher score = more disability | Preoperatively, 1, 3 and 5 years postoperatively | |
Secondary | Change in HADS - Change hospital Anxiety and Depression score | 2 subscores for anxiety (0-21P) and depression (0-21p), higher score = worse | Preoperatively, 1, 3 and 5 years postoperatively | |
Secondary | Change in PCS - Pain Catastrophizing Score | 0-52, higher score = more pain catastrophizing | Preoperatively, 1, 3 and 5 years postoperatively | |
Secondary | Change in Thumb base motion | radial and palmar abduction of the first metacarpal (degrees). | Preoperatively, 1, 3 and 5 years postoperatively | |
Secondary | Change in thumb strength | Key pinch and pinch strength (Kg) | Preoperatively, 1, 3 and 5 years postoperatively |
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