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The primary objective is to investigate the active extension six months after implantation of the CapFlex-PIP© arthroplasty, comparing the dorsal with the volar approach.
This is a randomized controlled trial including 70 patients with PIP OA indicated for CapFlex arthroplasty.
The CapFlex-PIP© implant is a modular gliding surface proximal interphalangeal (PIP) joint prosthesis. For implantation, there are two approaches available: The dorsal central split approach according to Swanson and the volar approach described by Simmen.
Our experiences and data from our prospective registry indicate, that the active extension of the PIP joint is better after the dorsal approach, but sometimes related with hyperextension of the PIP joint and secondary swan-neck deformity. Extension is supposed to be better after the volar approach, but associated with active and passive extension lag. Evidence of theses experiences will assist the surgeon in the preoperative planning to select the appropriate approach according to the patient's needs.
The primary objective is to investigate the active extension six months after implantation of the CapFlex-PIP© arthroplasty, comparing the dorsal with the volar approach.
This is a randomized controlled trial.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dorsal approach CapFlex arthroplasty | Experimental | Arthroplasty of the PIP joint with the CapFlex implant. Surgery will be done with the dorsal approach. |
|
| Volar approach CapFlex arthroplasty | Active Comparator | Arthroplasty of the PIP joint with the CapFlex implant. Surgery will be done with the volar approach. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dorsal approach CapFlex arthroplasty | Procedure | Arthroplasty of the PIP joint with the CapFlex implant. Surgery will be done with the dorsal approach. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Active extension of the PIP joint measured with a goniometer | 6 months after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Subjective function using the Brief Michigan Hand Questionnaire (briefMHQ) | 6 months after surgery |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Schulthess Klinik | Zurich | 8008 | Switzerland |
No plan to share data
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| ID | Term |
|---|---|
| D010003 | Osteoarthritis |
| ID | Term |
|---|---|
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
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| Volar approach CapFlex arthroplasty | Procedure | Arthroplasty of the PIP joint with the CapFlex implant. Surgery will be done with the volar approach. |
|