Thumb arthritis surgery showdown: new joint implant vs. traditional bone removal
NCT ID NCT07569549
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study compares two surgical treatments for thumb base osteoarthritis: total joint replacement with the TOUCH prosthesis and trapeziectomy (removing a bone at the thumb base). Researchers want to see if joint replacement provides better grip strength and fewer complications. 84 participants aged 40-80 will be randomly assigned to one surgery and followed for up to 10 years.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- TOUCH Dual-Mobility Prosthesis (joint replacement device) and trapeziectomy (surgical removal of a bone)
- What this could lead to
- If successful, this could show that joint replacement provides better grip strength and fewer complications than the standard surgery for thumb osteoarthritis.
- What could go wrong
- This is a small, early-stage trial (84 participants) comparing two surgical methods. Results may not apply to all patients, and long-term risks like implant failure or need for revision surgery are possible.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 84 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jul 2026
An estimate. Start dates often move.
- Expected to finish
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Mar 2038
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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40 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age 40-80 years at inclusion * CMC-joint osteoarthritis grade 1-3 (Eaton-Littler classification) * Rest pain or pain reducing hand function with indication for surgery * Insufficient relief from non-operative treatment for ≥3 months (orthosis, OTC analgesics, cortisone injection) * Eligible for both prosthesis and trapezectomy per including surgeon * Non-smoker or complete smoking cessation ≥6 weeks prior to surgery Exclusion Criteria: * Previous surgery to thumb base or STT-joint * Ongoing chronic pain condition * Dementia or cognitive impairment * Trapezium height \<7 mm on plain radiograph * Active smoker * Osteoarthritis grade 4 (Eaton-Littler)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
2 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Department of Handsurgery, Uppsala University Hospital
RECRUITINGUppsala, Sweden
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Örebro university hospital
NOT_YET_RECRUITINGÖrebro, Sweden
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Laser vs. exercise: which eases thumb arthritis best?