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Updated: Feb 11, 2026
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Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
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Partial Versus Total Trapeziectomy Thumb Arthroplasty: An Expertise-based Feasibility Study.
Achilleas Thoma1, Carolyn Levis1, Pinkal Patel1
1Division of Plastic Surgery, Department of Surgery, McMaster University, Hamilton, ON, Canada; Department of Health Research Methods, Evidence and Impact (HEI), McMaster University, Hamilton, ON, Canada; Michael G. DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada; and Department of Psychiatry and Behavioral Neurosciences, McMaster University, Hamilton, ON, Canada.
Plastic and Reconstructive Surgery. Global Open
|May 1, 2018
Summary
A large-scale study comparing two thumb osteoarthritis surgeries is feasible. Adjustments like including more patients and improving follow-up are needed for future research on surgical techniques for carpometacarpal osteoarthritis.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Osteoarthritis Research
Background:
- First carpometacarpal joint osteoarthritis has multiple surgical treatments, but outcomes comparison remains debated.
- This feasibility study assessed the possibility of a large-scale trial comparing two arthroplasty techniques.
Purpose of the Study:
- To determine the feasibility of a large-scale health-related quality of life and functional outcomes study.
- To compare complete trapeziectomy with ligament reconstruction and tendon interposition (T + LRTI) versus partial trapeziectomy and tendon interposition (PT + TI) arthroplasty.
Main Methods:
- Patients with Eaton stages II-IV thumb arthritis were recruited for either T + LRTI or PT + TI.
- Feasibility was assessed via recruitment, eligibility, retention, and compliance rates for quality of life and functional outcome measures.
- Data analysis included calculation of variances and treatment effect sizes (ES) at 6-month follow-up.
Main Results:
- 34% of 60 screened patients were eligible; 20 consented (12 T + LRTI, 8 PT + TI).
- 6-month questionnaire completion was 50% (T + LRTI) and 75% (PT + TI); functional measurements were 50% and 63%, respectively.
- Large treatment effect sizes were observed in the PT + TI group for specific quality of life domains and in the T + LRTI group for overall health.
Conclusions:
- A large-scale study is feasible with modifications to increase sample size and account for attrition.
- Liberalizing inclusion criteria to include patients with carpal tunnel syndrome is recommended.
- Enhanced staff involvement and dedicated time for follow-up measurements are crucial for study success.
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