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The purpose of this study was to measure the differences in Health Related Quality of Life (HRQOL) and functional measurements between two groups of patients with Carpometacarpal Osteoarthritis of the thumb.
Two patient groups, who have been diagnosed with Carpometacarpal Osteoarthritis of the thumb were compared to measure the Health Related Quality of life (HRQOL) and functional outcomes following two different surgical procedures. The first procedure is currently the most used procedure is North America, Trapeziectomy with Ligament Reconstruction and Tendon Interposition (T+LRTI); this procedure is compared to Partial Trapeziectomy and Tendon Interposition (PT+TI). HRQOL is measured using three questionnaires: one generic, one condition specific and one to measure utility (costs). Patients received their procedures from the respective surgeons and then came in for regular follow up at 1, 3, 6 and 12 months. At these follow up visits the questionnaires and functional measurements (including grip, key pinch and tip pinch strength), were completed
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| T+LRTI Patients | Patients who received Trapeziectomy with Ligament Reconstruction and Tendon Interposition. |
| |
| PT+TI Patients | Patients who received the Partial Trapeziectomy and Tendon Interposition |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| T+LRTI | Procedure | T+LRTI is the most commonly used procedure, it removes the entire trapezium |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in Health Related Quality of Life (HRQOL) as measured by the Short Form 36v2 (SF-36) | The Short-Form 36v2 [SF-36] is a Generic HRQOL questionnaire | 1 week pre-operatively plus 1, 3, 6 and 12 month post-operatively |
| Change in Health Related Quality of Life (HRQOL) as measured by the Disabilities of the Arm, Shoulder and Hand (DASH) | The DASH is a condition specific questionnaire | 1 week pre-operatively plus 1, 3, 6 and 12 month post-operatively |
| Change in HRQOL as measured by The EuroQol-5D-3L [EQ-5D] | The EQ-5D is a questionnaire that allows utility to be calculated | 1 week pre-operatively plus 1, 3, 6 and 12 month post-operatively |
| Measure | Description | Time Frame |
|---|---|---|
| Change in functional performance as measured by Grip Strength | Force applied by the hand, measured by a goniometer in kilograms | 1 week pre-operatively and 3, 6 and 12 month post-operatively |
| Change in functional performance as measured by Two-Point Pinch Strength |
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Inclusion Criteria:
Exclusion Criteria:
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Adults (Over the age of 18) who have been diagnosed with CMCJ OA of the thumb, Eaton stages II-IV who are english speaking with no other existing hand pathology.
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| Name | Affiliation | Role |
|---|---|---|
| Achilles Thoma, MD | McMaster University | Principal Investigator |
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the data will not be made to other researchers, the final results will be anonymized and hopefully published in scientific journals
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| ID | Term |
|---|---|
| D001168 | Arthritis |
| D010003 | Osteoarthritis |
| ID | Term |
|---|---|
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
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| PT+TI | Procedure | The PT+TI is less invasive than the T+LRTI as only part of the trapezium is removed |
|
Force applied by the tip of the thumb and the tip of the index finger, measured by a goniometer in kilograms |
| 1 week pre-operatively and 1, 3, 6 and 12 month post-operatively |
| Change in functional performance as measured by Key Pinch Strength | Force applied by the pad of the thumb and lateral surface of the index finger, measured by a goniometer in kilograms | 1 week pre-operatively and 3, 6 and 12 month post-operatively |