Trapeziectomy vs. Trapeziometacarpal Limited Excision for Thumb Base Osteoarthritis

N/AActive Not RecruitingNCT04210687

Karolinska Institutet90 enrolled

Overview

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

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Thumb Osteoarthritis

Interventions

trapeziometacarpal limited excisionPROCEDURE

Narrow pseudarthrosis CMC1

TrapeziectomyPROCEDURE

Simple trapeziectomy

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

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).

Locations (1)

Karolinska Institutet

Stockholm, Sweden