Arthroscopic Partial Trapezictomy With Hematoma Distraction in Basal Thumb Arthritis

Study Results

Results pending

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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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-12-30

Study Completion Date

2024-12-05

Brief Summary

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The basal joint, also referred to as the carpometacarpal (CMC) joint, of the thumb is one of the joints most commonly affected by arthritis. CMC joint arthritis can lead to decreased grip and pinch strength and impairment of activities of daily living

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Detailed Description

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The thumb CMC joint has been reported as the most painful joint when compared to other hand joints affected by OA. It is therefore no surprise that this is a common chief complaint of patients and has a significant effect on work and life satisfaction Patients often present with complaints of pain localized to the base of the thumb that is exacerbated when performing tasks such as opening a jar, turning a car key, and turning door Knob, this pain may be reproduced by resisted pinch and grip .

On physical examination, patients will have point tenderness at the thumb basal joint with swelling and crepitus when the basal joint is compressed - a positive grind test and a positive "hump" sign from dorsal CMC dislocation subluxation .

Conditions

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Orthopedic Disorder

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Arthroscopic partial Trapezictomy With Hematoma Distraction

Group Type EXPERIMENTAL

wrist arthroscopy

Intervention Type PROCEDURE

Arthroscopic Partial Trapeziectomy with Hematoma Distraction in Basal Thumb Arthritis

Interventions

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wrist arthroscopy

Arthroscopic Partial Trapeziectomy with Hematoma Distraction in Basal Thumb Arthritis

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Age: adult patient \> 20years.
* Gender: Males \& Females.
* Symptomtic patient.
* Failed conservative treatment of 6 months duration
* Eaton stage II, III and IV of base thumb arthritis

Exclusion Criteria

* Patient presenting with flexor carpi radialis rupture
* Previous Zancolli arthroplasty
* Associated comorbidity as: RA,DM with joint destruction
* Infection
* Poor Skin Condition
* Active Pateint With High Joint Demand

Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No