Clinical Trials Logo

Clinical Trial Details — Status: Recruiting

Administrative data

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

Study information

Verified date March 2024
Source Karolinska Institutet
Contact Maria Wilcke, MD PhD
Phone +46708294613
Email maria.wilcke@regionstockholm.se
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

A randomized comparison between trapeziectomy and trapeziometacarpal limited excision for thumb base osteoarthritis in 90 patients.


Recruitment information / eligibility

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).

Study Design


Related Conditions & MeSH terms


Intervention

Procedure:
trapeziometacarpal limited excision
Narrow pseudarthrosis CMC1
Trapeziectomy
Simple trapeziectomy

Locations

Country Name City State
Sweden Karolinska Institutet Stockholm

Sponsors (1)

Lead Sponsor Collaborator
Karolinska Institutet

Country where clinical trial is conducted

Sweden, 

Outcome

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
See also
  Status Clinical Trial Phase
Completed NCT04913935 - Investigation of Thenar Muscles Morphometric Parameters in Patients With TMC OA
Terminated NCT04613154 - Magnesium as an Adjunct for Pain Treatment After Surgery for Thumb Base Arthrosis N/A
Not yet recruiting NCT06401317 - Corticosteroid Against Saline Injections for Thumb Osteoarthritis (CASITOA) N/A
Completed NCT05772715 - The THumb Osteoarthritis Exercise TriAl N/A
Not yet recruiting NCT05095415 - Occupational Therapy Pre-operative Education in the Orthopedic Hand Setting N/A
Active, not recruiting NCT03611023 - Study of the Touch® Trapezo-metacarpal Prosthesis
Completed NCT03858946 - Ligament Reconstruction Weilby vs Simple Trapeziectomy N/A
Recruiting NCT05626192 - Anatomical Evaluation of the APL Tendons in Thumb CMC Joint and Osteoarthritis
Recruiting NCT04892589 - The Role of the Proprioceptive Training in Functional Recovery of Patient With Thumb Base Osteoarthritis
Recruiting NCT04826380 - Thumb Basal Joint (CMC I) Arthritis - Preoperative Anxiety/Depression, Outcome Instruments, Carpal Cinematics and Cost-utility N/A
Completed NCT04738201 - Proprioceptive Thumb Exercises Program in Patients With Carpometacarpal Joint Osteoarthritis N/A
Recruiting NCT04625244 - Can Video Assisted Therapy Replace In-Person Occupational Therapy After Hand Surgery: A Noninferiority Study N/A
Recruiting NCT01679717 - Postoperative Therapy After Interposition Arthroplasty in CMC1 N/A
Active, not recruiting NCT05315297 - Pulsed Electromagnetic Field (PEMF) Therapy in Thumb CMC Arthritis N/A
Not yet recruiting NCT05896410 - 3D-Printed Hand Orthosis Versus Thermoplastic Orthosis N/A
Not yet recruiting NCT04588961 - Trapeziectomy Suspensionplasty Versus Carpometacarpal Joint Replacement in Treatment of Basal Thumb Osteoarthritis N/A
Recruiting NCT05992883 - NSAID Injection Versus Corticosteroid Injection for Basilar Thumb Arthritis Phase 3
Completed NCT02958137 - Arthroscopic Resection Arthroplasty of Carpometacarpal and/or Pantrapezial Osteoarthritis N/A
Recruiting NCT05127005 - Efficacy of Trapeziectomy Versus Sham Surgery in the Treatment of Osteoarthritis at the Base of the Thumb N/A
Completed NCT04669704 - Effectiveness of a Tele-Rehabilitation Evidence-based Tablet App for Rehabilitation in Traumatic Bone and Soft Injuries of the Hand, Wrist and Fingers. N/A