A Prospective Randomized Trial Comparing Standard Ligament Reconstruction Tendon Interposition (LRTI) VS Ligament Reconstruction Tendon Interposition (LRTI) With an Interference Screw for Thumb Carpometacarpal Arthritis - Pilot Study

Andrew Trenholm20 enrolled

Overview

A Prospective Randomized Trial Comparing Standard Ligament Reconstruction Tendon Interposition (LRTI) VS Ligament Reconstruction Tendon Interposition (LRTI) with an interference screw for thumb carpometacarpal arthritis

This study will be a prospective randomized trial done in a single academic center. The patients who meet the inclusion criteria and agree to participate in the trial will be scheduled for a first CMC joint procedure. The procedure, standard LRTI or LRTI with a biotenodesis screw, will be allocated in a randomized fashion in the operating room using a sealed opaque envelope. After the surgery the patient will be placed in a spica splint for 1-2 weeks. Following suture removal, a thumb spica cast will be applied for immobilization for a total of 6 weeks of post-operative immobilisation. The potential population for this study will include all patients with first carpometacarpal joint arthritis that have failed a conservative treatment. The primary outcome will be the thumb subsidence measured as the percentage of trapezial height, which correlates with stability. Subsidence will be measured on stress x-ray under a standard pinch load. Secondary outcomes will be function measured in 4 different ways: the range of motion compared to the contralateral side, pinch and grip strength compared to the other side, the Disabilities of the Arm Shoulder and Hand (DASH) score and the pain score on a visual analogue scale.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Osteoarthritis

Interventions

LRTIPROCEDURE

Biotenodesis ScrewDEVICE

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * First CMC primary osteoarthritis refractory to conservative treatment * Patient \>age 18 * Able to read and understand English * Available for 2 year follow up Exclusion Criteria: * Inflammatory Arthritis * Active infection in the first CMC joint * Concomitant neuropathy * Previous surgical procedure on the thumb * Active or status post CRPS * Severe ¨Z ¨deformity that requires palmar plate advancement * Unwilling to participate in a research project * Contralateral first CMC joint surgery

Locations (1)

Queen Elizabeth II Health Sciences Centre

Halifax, Nova Scotia, Canada

Outcomes

Primary Outcomes

Subsidence of CMC joint

Measurement of trapezial height as a percentage of pre-operative height

Time frame: 6 weeks, 3 months, 6 months, 1 year, 2 years

Secondary Outcomes

EQ-5D Health Questionnaire Score

Time frame: Baseline, 6 weeks, 3 months, 6 months, 1 year, 2 years

DASH questionnaire score

Time frame: Baseline, 6 weeks, 3 months, 6 months, 1 year, 2 years

Grip strength as measured by dynamometer