Rhizarthrosis Surgery and Functional Recovery: Arthroplasty vs. Trapezectomy

ConditionRhizarthrosis
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age45-85
SponsorClinique Bizet

About this trial

Rhizarthrosis is a form of osteoarthritis that affects the trapeziometacarpal joint at the base of the thumb, which is more common in women over 50. Genetic and hormonal factors as well as the frequency of certain physical movements may contribute to its appearance. Surgical treatment is recommended if medical treatment fails, and trapezectomy is currently considered the standard method, although 3rd generation trapeziometacarpal prostheses are also available.

The aim of this study is to compare the clinical and radiographic results after surgical treatment of rhizarthrosis: prosthesis versus trapezectomy.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age >45 years

Symptomatic trapezius-metacarpal osteoarthritis after failure of medical treatment ( night orthosis 3 months + failure of 2 infiltrations/year)

Patient who has given his/her consent to participate in the study after being informed by the surgeon,

Patient living in France and able to answer the survey alone.

Disqualifiers

Minor patient

Trapezium height < 8 mm

Major subject protected by law, under curatorship or guardianship

Known allergy to the materials of the medical device

Trial population

Patients with symptomatic disabling osteoarthritis in failure of medical treatment

Trial design

Design model

Other

Time perspective

Prospective

Treatments tested in this trial

  • HORUS

    Device

    The trapezium-metacarpal arthroplasty consists of the installation of a bipolar prosthesis composed of a metacarpal implant and a trapezial implant articulated through a metacarpal "head".

Treatment groups

50 Participants
are divided into 2 treatment groups
Group A: Control0 interventions
Group B: Experimental1 intervention

Trial outcomes

Primary outcomes

1

patient assessment of the wrist

Quick-Dash score (11 minimum value and 55 is maximum )

Time frame
4 weeks

Secondary outcomes

1

patient assessment of the wrist pain

Visual Analogical Assessment score (0 no pain 10 severe pain)

Time frame
4 weeks

Other outcomes

Sponsors and contacts

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