Short summary

Purpose: There is currently no consensus on the best surgical approach for carpometacarpal osteoarthritis treatment. Simple trapeziectomy (TI) or trapeziectomy with ligament reconstruction and tendon interposition (LRTI) are both accepted procedures but evidence is lacking. We want to conduct a high quality prospective randomized study in which preoperative and postoperative objective and subjective outcome measures of both procedures will be compared. 

Rationale

In this trial, we compare the Weilby procedure (LRTI) to simple trapeziectomy (TI) with shame incisions using a high quality prospective randomized trial design and preoperative and postoperative objective and subjective outcome measures in patients with severe TM arthritis. We hypothesize that TI will be equal to LRTI in terms of both subjective and objective outcomes 

Description of the cohort

This multicenter trail will prospectiverly recruit patients with primary thumb carpometacarpal osteoarthritis and subsequently randomized them to either Weilby interposition tendoplasty or simple trapeziectomy.  

Publications associated with the project

Orthopedic Research Unit, at Department of Orthopedics and Traumatology Kolding Hospital

• Associate professor Carsten Jensen, PhD
• Consultant hand surgeon Klaus Villadsen

Division of Hand Surgery, Dept. of Orthopedics and Traumatology, Hospital of Southern Jutland

• Consultant hand surgeon Jerzy Stiasny, PhD

Division of Hand Surgery, Dept. of Orthopedics and Traumatology Vejle Hospital

• Consultant hand surgeon Arunas Sliuzas

Institute of Regional Health Research, University of Southern Denmark

Department of Occupational Therapy for each of the participating hospitals