Arthroscopic Partial Trapezictomy With Hematoma Distraction in Basal Thumb Arthritis

Arthroscopic Partial Trapeziectomy With Hematoma Distraction in Basal Thumb Arthritis

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

Study Overview

• Status: Recruiting
• Conditions: Orthopedic Disorder
• Intervention / Treatment: Procedure: wrist arthroscopy

Detailed Description

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 .

• Study Type: Interventional
• Enrollment (Estimated): 24
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Maysara Mohammed, MD; Phone Number: 0201063119673; Email: maysarabayoumy.216@Azhar.edu.eg
• Study Contact Backup: Name: Ahmed Abbas, MD; Phone Number: 0201067715777; Email: ahmedabbasmahmoud680@gmail.com

Study Locations

• Egypt
  • Assiut, Egypt
    • Recruiting
    • Alazhar
    • Contact: Alazhar

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 20 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No

Description

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

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Arthroscopic partial Trapezictomy With Hematoma Distraction	Procedure: wrist arthroscopy; Arthroscopic Partial Trapeziectomy with Hematoma Distraction in Basal Thumb Arthritis

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
DASH score	score for pinch grip	1 year

Collaborators and Investigators

• Sponsor: Al-Azhar University

Study record dates

Study Major Dates

• Study Start (Actual): December 30, 2023
• Primary Completion (Estimated): October 1, 2024
• Study Completion (Estimated): December 5, 2024

Study Registration Dates

• First Submitted: February 17, 2023
• First Submitted That Met QC Criteria: February 17, 2023
• First Posted (Actual): February 27, 2023

Study Record Updates

• Last Update Posted (Estimated): January 17, 2024
• Last Update Submitted That Met QC Criteria: January 15, 2024
• Last Verified: January 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pathologic Processes; Hemorrhage; Musculoskeletal Diseases; Hematoma
• Other Study ID Numbers: APTBA

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No