Clinical trial Recruiting at 1 site Observational Ages 21 and up

Improving thumb strength and function for arthritis patients

Official title: Restoration of Thumb Strength and Function in Basal Joint Arthritis: A Comparative Effectiveness Trial (RESTART)

Run by Dartmouth-Hitchcock Medical Center · NCT04458584 · Data updated 2026-11-12

This study is testing different surgical options for people with thumb arthritis to see which one helps improve strength, function, and reduce pain the most.

Quick facts

Study typeObservational
Ages21 Years and up
SexAll
Enrollment165 (estimated)
SponsorDartmouth-Hitchcock Medical Center
Academic / other
Locations1 site (Lebanon, New Hampshire)
StatusRecruiting
StartedJune 29, 2020
Main results expectedDecember 31, 2026
Study endsMarch 31, 2027
Registry record updatedJuly 30, 2026
Trial IDNCT04458584 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 21 and older who are undergoing elective non-prosthetic, primary basal joint arthroplasty.

Probably not a fit

Patients with inflammatory arthritis or those undergoing simultaneous bilateral hand procedures 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 study evaluates the effectiveness of different surgical interventions for thumb basal joint arthritis, focusing on trapeziectomy with ligament reconstruction, suture suspensionplasty, and arthroscopic trapeziectomy. It aims to determine which approach leads to better functional outcomes, strength, and pain relief. Participants will undergo one of the specified procedures and will be assessed through various clinical measures before and after surgery. The study will collect data on grip and pinch strength, as well as patient-reported outcomes.

Why it matters

Potential benefit: If successful, this study could lead to improved surgical techniques that enhance thumb strength and function for patients with basal joint arthritis.

How similar studies have gone: Other studies have shown varying degrees of success with similar surgical approaches, but this specific comparative effectiveness evaluation is novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Males and females 21 years of age or older;
* Undergoing elective non-prosthetic, primary basal joint arthroplasty;
* Patient has necessary mental capacity to participate and comply with study protocol;
* Patient is willing and able to give informed consent; and
* Patient is willing to participate under the care of their chosen surgeon.

Exclusion Criteria:

* Patients with a diagnosis of rheumatoid arthritis, systemic lupus erythematosis, psoriatic arthritis, or other related inflammatory arthritis;
* Patients undergoing simultaneous bilateral hand procedures of any nature;
* Women who are pregnant or breastfeeding;
* Women of reproductive potential unless there is a negative urine pregnancy test on the day of surgery. Women of child bearing potential include those who are premenopausal who have not had a bilateral oophorectomy, hysterectomy or tubal ligation. Post-menopausal is defined as not having had a menstrual period for at least one calendar year.
* Vulnerable patient populations including prisoners and institutionalized individuals.

Where it's running

  • Dartmouth-Hitchcock Medical Center
    Lebanon, New Hampshire, United States
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.