Denervation for Osteoarthritis in the PIP-joint Efficacy Study (DOPS)

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorKarolinska Institutet

About this trial

The goal of this clinical trial is to compare the effects of a surgical and a non-surgical treatment method in patients with osteoarthritis in the proximal interphalangeal (PIP) joint. The main questions it aims to answer are:

* Are the treatments effective? * Is the surgical treatment more effective than the non-surgical treatment? Participants will receive surgical treatment (PIP joint denervation) or non surgical treatment (patient education plus exercise).

Researchers will compare the non-surgical and surgical groups to see if pain, patient-reported function, quality of life, movement and grip strength differs between the groups.

Eligibility criteria

Qualifiers

Age ≥ 18 years.

Chronic symptomatic osteoarthritis in the PIP-joint.

Radiological signs of osteoarthritis on posteroanterior and lateral radiographs assessed by the Kellgren-Lawrence classification (grade II-IV) (Kellgren & Lawrence, 1957).

Clinical signs of PIP-joint arthritis.

Disqualifiers

Inflammatory arthritis.

Ongoing infection in the hand.

Inability to co-operate with the follow-up protocol.

Intra-articular glucocorticoid, PRP or Hyaluronic acid injections in the affected joint less than 3 months prior to enrollment.

Trial design

Treatments tested in this trial

  • PIP joint denervation
  • Patient education plus exercise

Treatment groups

90 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Karolinska Institutet

Lead sponsor

Stockholm South General Hospital

Collaborator