Rizarthrosis
Conditions
Keywords
Thumb, osteoarthritis, prosthesis, trapeziectomy
Brief summary
It is a randomized, prospective, single-blind study of two treatment techniques for rhizarthrosis. The patients are divided into two groups: one in which a Maia trapeziometacarpal prosthesis is implanted, and the other in which the standard technique of trapeziectomy and tenosuspension plasty is performed according to the Burton-Pellegrini technique.The follow-up of the patients is one year, and functionality (measured with the Quick Dash test) and pain (measured with the VAS scale) are compared throughout this period.This study has a sample size of 62 patients, 31 per group. Other secondary variables are also evaluated, such as strength and mobility of the thumb trapeziometacarpal joint (measured with the Kapandji index).
Interventions
Replacing the articular surface of the trapezo-metacarpal joint with a socked-ball prosthesis.
Remove the trapezium bone and perform a suspensionplasty using a hemi-slip of the flexor carpi radialis tendon
Sponsors
Study design
Eligibility
Inclusion criteria
* Rizarthrosis grade I, II, III
Exclusion criteria
* Rizarthrosis grade IV * Severe osteoporosis * Metals allergy * Previous surgical interventions related * Malformations in the articular zones that difficult the implant placement
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| VAS | 1 year | Pain evaluated by Visual analogic scale (VAS) |
| Quick Dash | 1 year | Function of the arm evaluated by Quick Dash scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Strength | 1 year | Strength evaluated with a pressure gauge |
Countries
Spain