Clinical Trials Logo

Clinical Trial Summary

This study compares and evaluates differences in movement analysis, patient-reported outcome, radiological assesment and muscular function between patients undergoing carpometacarpal joint arthroplasty with use of modern implants and trapeziectomy with suspensionplasty


Clinical Trial Description

Osteoarthritis of first carpometacarpal joint is the most common degenerative disease of upper limb. According to data available in literature, it affects about 30% of women and 6% of men at the age of 45. Increasing with age, it rises up to 90% in people by the age of 80. Due to more widely spread electronic devices in offices, at work, at home which requires usage of thumb, increase in numbers mentioned above is strongly probable. The main symptoms are: pain, loose of grip strength and loose of function. The latter is most important fact, since about 50% of hand function is possible only with healthy thumb. In many cases osteoarthritis can be treated by combined NSAIDs and splinting with rehabilitation. Sometimes when symptoms do not respond to non-operative treatment, there is a need for surgery. Trapeziectomy is the most common choice for operative treatment for end-stage basal thumb osteoarthritis. However, many other techniques were developed, there is continuous dispute over selecting the optimal . One of the most promising is arthroplasty using prosthesis. Last years many important advances were made in a design of implant and materials. Moreover the investigators now have many longer outcomes of such operation made in the past. All this data make us think more about using this technique often, since there are papers which show superiority over classical trapeziectomy. Even though there are several studies comparing functional and objective outcome of those techniques, there is a lack of evidence in terms of biomechanical analysis, thenar muscle activity and changes in movement patterns. Moreover there is no study published so far which considers modern implants and trapeziectomy with suspensionplasty. The aim of the study is to examine relationships between movement analysis (kinematic and functional outcomes), patient reported outcome measures (PROMS) and X-ray measurement, electromyography both pre- and post-operatively. ;


Study Design


Related Conditions & MeSH terms


NCT number NCT04588961
Study type Interventional
Source Medical University of Warsaw
Contact Piotr Stepinski, MD
Phone 607 190 402
Email piotr.stepinski01@gmail.com
Status Not yet recruiting
Phase N/A
Start date June 1, 2021
Completion date December 31, 2024

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 NCT04210687 - Trapeziectomy vs. Trapeziometacarpal Limited Excision for Thumb Base Osteoarthritis N/A
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
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