Trapeziectomy and Suture Suspensionplasty for Thumb Carpometacarpal Arthritis - Is In-Clinic Therapy Needed?

Last updated: April 22, 2025
Sponsor: Julie Nuelle
Overall Status: Active - Recruiting

Phase

N/A

Condition

Joint Injuries

Treatment

Occupational Therapy

Home Exercise Program

Clinical Study ID

NCT06820528
CMC-02062
  • Ages > 18
  • All Genders

Study Summary

The study is a randomized, controlled trial to evaluate the efficacy of formal occupational therapy on outcomes following CMC arthroplasty

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Patients over the age of 18 years

  • Patients undergoing CMC Arthroplasty

  • Ability to read and write in English

  • Ability to provide informed consent

Exclusion

Exclusion Criteria:

  • Patients undergoing revision CMC arthroplasty

  • Acute traumatic dislocation of the CMC joint as indication for surgery

  • Concomitant treatment of MCP hyperextension

Study Design

Total Participants: 180
Treatment Group(s): 2
Primary Treatment: Occupational Therapy
Phase:
Study Start date:
April 17, 2025
Estimated Completion Date:
January 01, 2028

Study Description

While hand surgeons agree that strength and flexibility exercises are crucial after surgery, there is currently no consensus on whether the benefits of participating in formal hand therapy outweigh the investment required. The financial and time investments required to participate in formal hand therapy can be particularly large in patients living in rural locations, as access to certified hand therapists are often limited. Therefore, a prospective, randomized trial of hand therapy utilization is warranted to explore this phenomenon. The purpose of this clinical trial is to assess the outcomes for post-operative therapy from in-clinic or at-home exercise therapies and analyze costs associated with the different therapies. For this clinical trial patients will be randomized to either in-clinic occupational therapy where patients come into clinic and undergo about 30-60 minutes of occupational therapy 1-2 a week with a physician or at-home exercise therapy where patients are provided instructions in clinic prior to HEP-therapy and have check-ins with physicians at their normal follow-up appointments; each consisting of about 5-10 minutes of exercise at home everyday of the week.

This study is a prospective, randomized, controlled trial to asses and analyze:

  1. The outcomes after trapeziectomy and suture suspensionplasty with in-clinic occupational therapy (OT) and without in-clinic occupational therapy: home exercise program (HEP).

  2. The cost difference between the OT and HEP groups as well as historical control patients that have undergone LRTI for thumb carpometacarpal joint arthritis (Including preoperative, intra-operative, and postoperative costs).

Connect with a study center

  • University of Missouri - Columbia

    Columbia, Missouri 65212
    United States

    Active - Recruiting

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