Arthroscopic Debridement vs Arthroscopic Hemi-Trapeziectomy on Patients With Thumb Carpometacarpal Joint Osteoarthritis

  • STATUS
    Recruiting
  • participants needed
    60
  • sponsor
    Chinese University of Hong Kong
Updated on 19 February 2024
osteoarthritis
trapeziectomy
analgesics
hyaluronic acid
conservative treatments

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.

Details
Condition Osteoarthritis Thumb
Age 18-100 years
Treatment Arthroscopic Debridement, Arthroscopic Hemi-Trapeziectomy with Mini TightRope
Clinical Study IdentifierNCT04217928
SponsorChinese University of Hong Kong
Last Modified on19 February 2024

Eligibility

Yes No Not Sure

Inclusion Criteria

Patients with Eaton and Glickel stage II and III of thumb carpometacarpal joint osteoarthritis
Age18 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

Exclusion Criteria

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
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