Comparing two methods for treating thumb arthritis
Trapeziectomy With Internal Brace Versus Ligament Reconstruction With Tendon Interposition; a Prospective Study
This study is testing two different surgical methods for treating thumb arthritis to see which one helps patients feel better and use their thumbs more easily.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 48 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Henry Ford Health System Academic / other |
| Locations | 1 site (Detroit, Michigan) |
| Trial ID | NCT05753891 on ClinicalTrials.gov |
What this trial studies
This study compares two surgical techniques for trapeziectomy in patients with basilar thumb arthritis. The control group undergoes the traditional method, which involves ligament reconstruction and tendon interposition, while the experimental group receives a novel approach using suture tape suspension to stabilize the 1st metacarpal. The goal is to evaluate the effectiveness and outcomes of these two methods in alleviating symptoms and improving function. Patients will be monitored for their recovery and overall satisfaction with the procedure.
Who should consider this trial
Good fit: Ideal candidates are patients with symptomatic basilar thumb arthritis who have not found relief through conservative treatments.
Not a fit: Patients with significant medical comorbidities that prevent safe surgery or those requiring additional procedures at the 1st carpometacarpal joint may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could provide patients with a more effective surgical option for managing thumb arthritis.
How similar studies have performed: While the traditional method has been widely used, the novel approach with suture tape suspension is relatively new and has not been extensively tested in prior studies.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients of Henry Ford Orthopedic Service Line * Symptomatic basilar thumb arthritis refractory to conservative management Exclusion Criteria: * Significant medical comorbidity precluding safe surgery, as determined by the operating surgeon. This may include cardiac disease, renal disease, liver disease, pulmonary disease, or heavy substance abuse. * Requirement for additional procedures at the 1st carpometacarpal joint, including trapezoid excision-whole or partial-or metacarpal osteotomy. Of note other existing conditions requiring intervention on a separate surgical site such as concomitant carpal tunnel syndrome or trigger fingers will NOT be used as exclusion criteria.
Where this trial is running
Detroit, Michigan
- Henry Ford Health System — Detroit, Michigan, United States (Recruiting)
Study contacts
- Study coordinator: Hardy Evans, MD
- Email: hevans3@hfhs.org
- Phone: 3138057873
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.