Arthroscopic distal hemitrapeziectomy versus open hemitrapeziectomy without interposition in osteoarthritis of the first CMC joint
Completed
- Conditions
- Carpometacarpal osteoarthritis
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 90
Inclusion Criteria
1. Painful CMC osteoarthritis of thumb
2. Type II and III according to Eaton’s Classification on x-ray
3. Minimum of 3 months nonsurgical treatment (NSAID, intra-articular injections, and splinting)
Exclusion Criteria
1. STT osteoarthritis (type 4 on Eaton’s classification)
2. Hyperlaxity (syndromes)
3. Systemic degenerative poly or panarthritis (RA, gout, psoriasis)
4. Subluxation >1/2 of the joint surface (indication for reconstruction of the volar beak ligament)
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Patients will evaluated pre-operatively, and postoperatively at 6 weeks, 3, 12 and 24 months.<br>Our primary outcome measure for pain and physical function is the patient rated wrist/hand evaluation (PRWHE) (Dutch Language Version) questionnaire (0=no pain and able to do activities – 100 = worst pain an unable to do activities). (20) The PRWHE is a wrist and hand specific questionnaire with items about the affected wrist and hand alone. A report of MacDermid and Tottenham showed that the PRWHE questionnaire is more responsive in detecting clinical changes over time compared to the DASH. (21) <br><br>
- Secondary Outcome Measures
Name Time Method