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Postoperative Rehabilitation Following Trapeziectomy and Ligament Reconstruction Tendon Interposition (LRTI)

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ClinicalTrials.gov Identifier: NCT01425034
Recruitment Status : Active, not recruiting
First Posted : August 29, 2011
Last Update Posted : February 20, 2018
Sponsor:
Information provided by (Responsible Party):
Douglas Hutchinson, University of Utah

Brief Summary:
Carpometacarpal (CMC) arthritis of the thumb joint ('basal arthritis') is a common entity treated by hand surgeons in our society. It can be a significant source of functional disability secondary to a painful, and often weak, grip. Once patients have failed treatment by conservative means, such as splinting, anti-inflammatories, and cortisone injections, the next option is surgical management. Several surgical options are available depending on the severity of the disease. For the early stages of arthritis options include a ligament reconstruction or a metacarpal extension osteotomy. For advanced stages, only salvage procedures exist. These have included simple trapeziectomy, arthrodesis and implant arthroplasty. The most common procedure, however, has been a trapeziectomy with a ligament reconstruction tendon interposition

Condition or disease Intervention/treatment Phase
Osteoarthrosis of the Carpometacarpal Joint of the Thumb Other: casts for the thumb Other: Motion group Not Applicable

  Show Detailed Description

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 229 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Participant)
Primary Purpose: Treatment
Official Title: Postoperative Rehabilitation Following Trapeziectomy and Ligament Reconstruction Tendon Interposition: a Prospective, Randomized Multi-center Study
Study Start Date : September 2011
Estimated Primary Completion Date : January 2019
Estimated Study Completion Date : January 2019

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Active Comparator: Cast group
The 'Cast' group will be placed in a thumb spica short arm cast with the thumb IP joint free. They will be allowed digit, thumb IP and elbow range of motion.
Other: casts for the thumb
The 'Cast' group will be placed in a thumb spica short arm cast with the thumb IP joint free. They will be allowed digit, thumb IP and elbow range of motion.
Other Name: Cast group

Active Comparator: Motion group
The 'Motion' group will be placed in a forearm based thumb spica splint with the thumb IP free. They will be allowed digit, thumb IP and elbow range of motion.
Other: Motion group
The 'Motion' group will be placed in a forearm based thumb spica splint with the thumb IP free. They will be allowed digit, thumb IP and elbow range of motion.




Primary Outcome Measures :
  1. compare early motion vs. delayed motion after ligament reconstruction tendon interposition for thumb basal arthritis (LRTI) [ Time Frame: 2 years ]
    DASH, VAS for pain, VAS for satisfaction, pinch and grip strength, coordination test and range of motion (thumb opposition)



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Ages Eligible for Study:   40 Years to 80 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients over 40 years old with basal arthritis who failed conservative treatment
  • Patients receiving LRTI by one of three enrolled surgeons at the U or one of the two enrolled surgeons at Intermountain who consented to the study

Exclusion Criteria:

  • Patients undergoing more procedures in addition to the LRTI that may alter the postoperative course, not including CTR or thumb MCP capsulodesis, MP fusion, trigger finger release
  • h/o CRPS
  • RA
  • Revision LRTI

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01425034


Locations
United States, Utah
InterMountain Health Care-TOSH orthopedic center
Murray, Utah, United States, 84107
Sponsors and Collaborators
University of Utah
Investigators
Principal Investigator: Douglas Hutchinson, M.D, University of Utah Orthopedics Center

Responsible Party: Douglas Hutchinson, M.D., University of Utah
ClinicalTrials.gov Identifier: NCT01425034     History of Changes
Other Study ID Numbers: 49860
First Posted: August 29, 2011    Key Record Dates
Last Update Posted: February 20, 2018
Last Verified: February 2018

Keywords provided by Douglas Hutchinson, University of Utah:
Cast
motion
thumb CMC arthritis
Collateral Ligament of Metacarpophalangeal Joint

Additional relevant MeSH terms:
Osteoarthritis
Arthritis
Joint Diseases
Musculoskeletal Diseases
Rheumatic Diseases