Getting Better after Trapeziectomy

• Research type

  Research Study

• Full title

  Getting Better after Trapeziectomy: Can pre-operative screening identify patients at risk of a poor outcome?

• IRAS ID

  155572

• Contact name

  Debbie Larson

• Contact email

  debbie.larson@nnuh.nhs.uk

• Duration of Study in the UK

  2 years, 6 months, 3 days

• Research summary

  Getting Better after Trapeziectomy: Can pre-operative screening identify patients at risk of a poor outcome?
  Research demonstrates that patients with back pain with a high score on a psychosocial scale have a higher risk of a poor outcome with standard physiotherapy in comparison to patients who have a low score. This outcome is improved by targeting the high risk group with specialist physiotherapists trained in cognitive behavioral treatment techniques. Base of thumb osteoarthritis is a painful, debilitating and common condition affecting the everyday function of the affected individuals. Many people will experience relief from non-surgical intervention however some will progress to have a trapeziectomy involving surgical removal of the small bone at the base of the thumb to improve their symptoms. Many patients experience a high degree of pain after a trapeziectomy however some appear to have a comfortable and uncomplicated recovery. Research has looked at different surgical and splinting techniques to improve recovery but have found little difference. It is of interest to examine the patient's pre-operative functional and psychosocial status and its association with pain and function following surgery. If there is an association then further research could investigate interventions to facilitate a better recovery for high risk patients. Approximately 130 patients listed at the Norfolk and Norwich University Hospital will be sought to complete the 5 item Generic Condition Screening Tool, 2 functional questionnaires and a pain numeric rating scale pre-operatively and 6 weeks, 16 weeks and 1 year after surgery. Participants will receive standard operative and therapeutic care. Funding, primarily for stationary costs, will be obtained from the internal Hand Clinical Trials Fund. Findings will be disseminated via publication in a peer reviewed journal.

• REC name

  East of Scotland Research Ethics Service REC 1

• REC reference

  15/ES/0020

• Date of REC Opinion

  17 Feb 2015

• REC opinion

  Favourable Opinion