study of hand arthritis surgery methods

Comparison of Effectiveness and Complication of Ligament Reconstruction and Tendon Interposition Arthroplasty with Hematoma Distraction Arthroplasty in patient with first Carpometacarpal Arthritis

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

IRCT

Registry ID

IRCT20220129053862N1

Enrollment

Registered

2022-02-14

Start date

2022-02-09

Completion date

Unknown

Last updated

2022-03-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Osteoarthritis of 1st carpometacarpal joint. Osteoarthritis of first carpometacarpal joint

Interventions

Intervention 1: Intervention group: Resection of trapezoid bone and Ligament Reconstruction and Tendon Interposition Arthroplasty with Flexor Carpi Radialis tendon in treatment of first carpometacarpa

Eligibility

Sex/Gender

All

Age

18 Years to No maximum

Inclusion criteria

Inclusion criteria: Diagnosis of first carpometacarpal joint osteoarthritis by expert orthopedic surgeons Confirmed by imaging studies Confirmed by clinical examinations Non-responsive to medical treatments

Exclusion criteria

Exclusion criteria: Having any rheumatic diseases involving the joints Previous history of joint surgery Incomplete data Lack of proper follow-up

Design outcomes

Primary

Measure	Time frame
Pain after surgery, Ability of physical activity, Pulp pinching power, Radiologic assessments as Proximal migration, Lateral migration, First web space. Timepoint: Before surgery and 3,6 and 12 month after surgery. Method of measurement: Pain in patients was assessed using Visual Analogue Scale, Patient’s ability to perform some physical activity assess by Disabilities of Arm, Shoulder and Hand score, The pulp pinching power was measured using pulp pinching test calculated by a manometer. In order to investigate the proximal migration, anterior-posterior graphs were taken in the wrist view with lateral thumb in two positions: resting and maximum tip pinch effort. The proximal migration was calculated by dividing the length of the trapezoidal distance by the length of the proximal phalanx. Stress and non-stress thumb graphs were used to examine lateral migration. The lateral margin of both thumbs was placed together and the percentage of the metacarpal thumb that passed through the lateral border of the longitudinal axis of the scaphoid was calculated and recorded as lateral migration. The first web space was calculated by taking a graph with Robert view with maximum thumb abduction and the inter-metacarpal thumb-index angle was calculated to evaluate the restoration of the first web space.	—

Measure

Time frame

Pain after surgery, Ability of physical activity, Pulp pinching power, Radiologic assessments as Proximal migration, Lateral migration, First web space. Timepoint: Before surgery and 3,6 and 12 month after surgery. Method of measurement: Pain in patients was assessed using Visual Analogue Scale, Patient’s ability to perform some physical activity assess by Disabilities of Arm, Shoulder and Hand score, The pulp pinching power was measured using pulp pinching test calculated by a manometer. In order to investigate the proximal migration, anterior-posterior graphs were taken in the wrist view with lateral thumb in two positions: resting and maximum tip pinch effort. The proximal migration was calculated by dividing the length of the trapezoidal distance by the length of the proximal phalanx. Stress and non-stress thumb graphs were used to examine lateral migration. The lateral margin of both thumbs was placed together and the percentage of the metacarpal thumb that passed through the lateral border of the longitudinal axis of the scaphoid was calculated and recorded as lateral migration. The first web space was calculated by taking a graph with Robert view with maximum thumb abduction and the inter-metacarpal thumb-index angle was calculated to evaluate the restoration of the first web space.

—

Countries

Iran (Islamic Republic of)

Contacts

Public ContactAbolghasem Zarezadeh

Esfahan University of Medical Sciences

zarezadeh@med.mui.ac.ir+98 31 3620 2020

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026