Postoperative Rehabilitation Following Trapeziectomy and Ligament Reconstruction Tendon Interposition
NCT01425034 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 234
Last updated 2019-08-20
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
Conditions
- Osteoarthrosis of the Carpometacarpal Joint of the Thumb
Interventions
- 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
-
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.
Sponsors & Collaborators
- lead OTHER
Principal Investigators
-
Douglas Hutchinson, M.D, · University of Utah Orthopedics Center
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 40 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2011-09-30
- Primary Completion
- 2019-02-28
- Completion
- 2019-02-28
Countries
- United States
Study Locations
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