The treatment of joint degeneration of the thumb with two different operation techniques.

Trapeziectomy with ligament reconstruction (Weilby vs Burton Pellegrini technique) for patients with primary CMC I arthritis: a Randomised Clinical trial.

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

NL-OMON

Registry ID

NL-OMON24260

Enrollment

100

Registered

2009-02-17

Start date

2009-03-01

Completion date

Unknown

Last updated

2024-02-28

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

Conditions

CMC I arthritis thumb arthritis trapeziectomy with ligament reconstruction Weilby technique Burton Pellegrini Technique CMC I artrose duim artrose trapeziectomie met ligament reconstructie Weilby techniek Burton Pellegrini techniek

Interventions

In this randomised clinical trial we compare the Weilby procedure and Burton Pellegrini procedure as a treatment for primary CMC OA of the thumb.

Eligibility

Inclusion criteria

Inclusion criteria: 1. Woman 40 > years; 2. Patient is diagnosed with primary CMC I atrhritis and planed for operation; 3. Right and left handed; 4. One or both hands are involved; 5. CMC I Arthritis Eaton and Glickels classification IV.

Exclusion criteria

Exclusion criteria: 1. Man; 2. CMC I Eaton and Glickels classification type I, II and III; 3. Operations for CMC I arthritis in history; 4. Secondary CMC I arthritis; 5. Muscle, neurological or other problems that could influence the postoperative management; 6. Patients who cannot complete the randomisation procedure; 7. Less knowledge of the dutch language; 8. Psychiatry in history.

Design outcomes

Primary

Measure	Time frame
1. Are there subjective differences between the two groups in functional activities of daily living 12 months after surgery?; 2. The 'Patient Rated Wrist/Hand Evaluation ¨C Dutch Language Version¡¯ (PRWHE-dlv) and the ¡®Disabilities of the arm, Shoulder, and Hand ¨C Dutch Language Version (DASH-dlv) outcome data collection instruments are used; 3. Is there significantly less opartion time in the Weilby group?; 4. The operation time is measured as the mean arm tourniquet time used during the procedure.	—

Measure

Time frame

1. Are there subjective differences between the two groups in functional activities of daily living 12 months after surgery?; 2. The 'Patient Rated Wrist/Hand Evaluation ¨C Dutch Language Version¡¯ (PRWHE-dlv) and the ¡®Disabilities of the arm, Shoulder, and Hand ¨C Dutch Language Version (DASH-dlv) outcome data collection instruments are used; 3. Is there significantly less opartion time in the Weilby group?; 4. The operation time is measured as the mean arm tourniquet time used during the procedure.

—

Secondary

Measure	Time frame
1. Differences in pain 12 months after surgery: using the PRWHE-dlv pain subscale; 2. Differences in strength 12 months after surgery: using E-link strength-measurement-system maesuring the tip pinch strength, Key pinch strength, Three-point pinch strength and grip strength; 3. Differences in mobility of the thumb 12 months after surgery: based on IP joint flexion/extension; MCP-joint flexion/extension; CMC-joint: palmar abduction measured using the intermetacarpal distance (IMD: the thumb is placed in full palmar abduction, the easily identifiable middorsal points on the subcutaneous surface of the first and second metacarpal heads are marked and the separation between these is measured in millimetres), opposition measured using the Kapandji score and extension measured how much the tip of the thumb can be elevated in millimetres with the hand flat on the table and the thumb in maximal radial abduction; 4. Differences in complications 12 months after after surgery: during 12 months all complications after surgery are scored.	—

Measure

Time frame

1. Differences in pain 12 months after surgery: using the PRWHE-dlv pain subscale; 2. Differences in strength 12 months after surgery: using E-link strength-measurement-system maesuring the tip pinch strength, Key pinch strength, Three-point pinch strength and grip strength; 3. Differences in mobility of the thumb 12 months after surgery: based on IP joint flexion/extension; MCP-joint flexion/extension; CMC-joint: palmar abduction measured using the intermetacarpal distance (IMD: the thumb is placed in full palmar abduction, the easily identifiable middorsal points on the subcutaneous surface of the first and second metacarpal heads are marked and the separation between these is measured in millimetres), opposition measured using the Kapandji score and extension measured how much the tip of the thumb can be elevated in millimetres with the hand flat on the table and the thumb in maximal radial abduction; 4. Differences in complications 12 months after after surgery: during 12 months all complications after surgery are scored.

—

Contacts

Public ContactG.M. Vermeulen

Roerstraat 117

gmvermeulen79@hotmail.com

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)