Arthroscopic Debridement vs Arthroscopic Hemi-Trapeziectomy on Patients With Thumb Carpometacarpal Joint Osteoarthritis
NCT ID: NCT04217928
Last Updated: 2020-01-06
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
NA
60 participants
INTERVENTIONAL
2019-12-10
2023-12-31
Brief Summary
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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.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Arthroscopic Debridement
Patients who are randomized into this arm will receive arthroscopic debridement
Arthroscopic Debridement
Arthroscopic debridement will be performed under portal site local anaesthesia.
Arthroscopic Hemi-Trapeziectomy with Mini TightRope
Patients who are randomized into this arm will receive arthroscopic hemi-trapeziectomy with mini tightrope
Arthroscopic Hemi-Trapeziectomy with Mini TightRope
Anaesthesia, position and arthroscopy will be performed in the same way as for arthroscopic debridement, except the distal part of the trapezium will be resected to a depth of 3-4mm together with protruding osteophytes.
Interventions
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Arthroscopic Debridement
Arthroscopic debridement will be performed under portal site local anaesthesia.
Arthroscopic Hemi-Trapeziectomy with Mini TightRope
Anaesthesia, position and arthroscopy will be performed in the same way as for arthroscopic debridement, except the distal part of the trapezium will be resected to a depth of 3-4mm together with protruding osteophytes.
Eligibility Criteria
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Inclusion Criteria
* Ageā„18 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 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
18 Years
ALL
No
Sponsors
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Chinese University of Hong Kong
OTHER
Responsible Party
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Michael Chu Kay MAK
Associate Consultant and Clinical Assistant Professor (Honorary)
Locations
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Prince of Wales Hospital
Shatin, , Hong Kong
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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RCT CMCJOA_Protocol_v1
Identifier Type: -
Identifier Source: org_study_id
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