Arthroscopic Debridement vs Arthroscopic Hemi-Trapeziectomy on Patients With Thumb Carpometacarpal Joint Osteoarthritis
- Conditions
- Osteoarthritis Thumb
- Interventions
- Procedure: Arthroscopic DebridementProcedure: Arthroscopic Hemi-Trapeziectomy with Mini TightRope
- Registration Number
- NCT04217928
- Lead Sponsor
- Chinese University of Hong Kong
- Brief Summary
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.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 60
- Patients with Eaton and Glickel stage II and III of thumb carpometacarpal joint osteoarthritis
- Age≥18 years old
- Failed to response to nonsurgical/conservative treatments including orthoses/splinting, activity modification, oral analgesics (e.g. nonsteroidal anti-inflammatory drugs), strengthening/flexibility exercises, and injections of corticosteroid or hyaluronic acid
- Willing to receive surgery
- Patients received previous thumb surgery proximal to the interphalangeal joint (IPJ)
- Patients with prior traumatic thumb injuries (e.g. fracture, dislocation)
- Patients with significant metacarpophalangeal joint (MCPJ) pain
- With concurrent procedures on the thumb, e.g. ganglion removal, trigger thumb release
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Arthroscopic Debridement Arthroscopic Debridement Patients who are randomized into this arm will receive arthroscopic debridement Arthroscopic Hemi-Trapeziectomy with Mini TightRope Arthroscopic Hemi-Trapeziectomy with Mini TightRope Patients who are randomized into this arm will receive arthroscopic hemi-trapeziectomy with mini tightrope
- Primary Outcome Measures
Name Time Method Short-Form Survey (SF-36) Post-op 24 months Generic health status instrument to assess quality of life
Key and Tip Pinch Post-op 24 months Will be measured in kg
Range of Motion (ROM) Post-op 24 months ROM of interphalangeal joint and metacarpal joint of thumb will be measured
Kapandji Score Post-op 24 months A tool for assessing the opposition of the thumb
Complications Post-operative up to 2 years Any complications related to the surgery will be documented
Disability of Arm, Shoulder and Hand (DASH) questionnaire Post-op 24 months Specially designed tool to assess upper extremity disability and symptoms
Patients' Satisfaction Score Post-op 24 months To grade the subjects' satisfaction regarding to their thumb conditions (0=totally not satisfied; 10=fully satisfied)
Visual Analogue Scale (VAS) Pain Score at Rest and Exertion Post-op 24 months VAS pain score at rest and exertion will be measured post-operatively
Grip Strength Post-op 24 months Will be measured in kg
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Prince of Wales Hospital
🇭🇰Shatin, Hong Kong