Comparing different immobilization durations after thumb joint surgery
Official title: Variable Immobilization Protocol for Arthroplasty of the Carpometacarpal Joint of the Thumb
Run by University of Chicago · NCT04828954 · Data updated 2026-11-12
This study tests whether keeping the thumb in a cast for 2 weeks or 6 weeks after surgery helps people with thumb arthritis heal better and recover faster.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 40 Years and up |
| Sex | All |
| Enrollment | 90 (estimated) |
| Sponsor | University of Chicago Academic / other |
| Locations | 1 site (Chicago, Illinois) |
| Status | Recruiting |
| Started | April 19, 2021 |
| Main results expected | May 4, 2027 |
| Study ends | August 4, 2027 |
| Registry record updated | May 13, 2026 |
| Trial ID | NCT04828954 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are individuals aged 40 and older who are scheduled for arthroplasty of the first carpometacarpal joint.
✕Probably not a fit
Patients under 40 years of age or those with prior thumb surgeries or specific inflammatory conditions may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial investigates the optimal duration of postoperative immobilization for patients undergoing arthroplasty of the carpometacarpal joint of the thumb due to osteoarthritis. Participants will be randomly assigned to receive either a 2-week or a 6-week immobilization protocol using a non-removable thumb spica plaster splint. The study aims to balance the benefits of immobilization for healing and pain control against the risks of stiffness and delayed recovery. By establishing an evidence-based rehabilitation protocol, the findings could enhance postoperative care for patients undergoing this common surgical procedure.
Why it matters
Potential benefit: If successful, this study could lead to improved recovery protocols that enhance patient outcomes and reduce complications after thumb joint surgery.
How similar studies have gone: While there is limited high-level evidence on optimal immobilization durations, similar studies have explored postoperative care in hand surgery, indicating a need for further investigation.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age \>= 40 years old * Patients undergoing arthroplasty of the first CMC joint including: 1. Trapeziectomy with LRTI 2. Simple Trapeziectomy 3. Suspensionplasty (suture vs. APL) Exclusion Criteria: * Patients \< 40 years of age * Patients who have undergone prior surgical procedures on the thumb base * Patients with history of prior procedure at the base of thumb, or those with plan for concomitant carpal tunnel release or thumb metacarpophalangeal (MCP) arthrodesis, will be excluded. Concomitant carpal tunnel surgery may skew outcome surveys, and an arthrodesis procedure will warrant a longer length of immobilization following procedure. * Those undergoing implant arthroplasty * Patients with a diagnosis of inflammatory arthritis * Patients with diagnosis of hypermobility syndrome
Where it's running
-
University of Chicago Medicine
Chicago, Illinois, United States Recruiting
Study contacts
- Principal investigator: Jennifer Wolf, MD — University of Chicago
- Study coordinator: Andrew Straszewski, MD
- Email: Andrew.Straszewski@uchospitals.edu
- Phone: 773-834-3531
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.