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A-0070 Thumb basal Joint Osteoarthritis: Reconstruction and Tendon Interposition Versus Hematoma Distraction Arthroplasty. A Prospective Randomized Controlled Trial.
A. Toro-Aguilera
Friday, June 15, 2018 · 6:01 p.m. · 06m 26s
A. Toro-Aguilera 1, P. Martínez-Galarza 1, C. Heras-Palou 2 1 Hand and wrist unit, Fundació Sanitària Mollet, Barcelona, Spain; 2 Pulvertaft Hand Centre, Royal Derby Hospital, Derby, UK
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does everybody and uh i would like to thank the committee to
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accept our preliminary strolls about this study in um we're comparing
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yes
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um that's all we know there's no ghost under a between this pathology so uh
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without that probably um the simple the bit you speak loud and
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clear abstract um we uh started to do this is to
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to do this study and i think in that probably if there's no colour stunner uh we decided to to compare if
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it's more complex techniques giving the advantage in the clinical outcomes
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so that we started with this or article that says that
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the minimal clinical important difference in with that just core
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i should be between fifteen and twenty points so with now are statistical
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power fate upper sane and not ten percent and lasting followup
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we should need to groups of fifty people so we decided the blind data are
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randomised control trial with to expect experience in hand surgeon this in centre
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and now this is the preliminary also seen the forty percent completion
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uh we started a comparing it to my destruction of the blasting
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this is the technique that they land with um the post code will fiend in a um pause before
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spaces sergei and the other technique use the modify will be by directly yes that's what we know
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this is the scale of the study and the office we recorded the
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pen to be inch um h. six i'm a professional status
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also we even see if the patients feats in the exclusion annex inclusion criteria
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they are the surgery we have a run the mice protocol after k. are uh
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are the same in both groups with this exception that eh intimate them uh
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um we have to remove the key wire at three weeks post op and now um we're at
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six months for follow up our future intention is to present their source of one year
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and patient demographics ah we see that in
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both groups are statistically given any need
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six um found on the question was that was it's movies about twenty people
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in t. n. t. beach uh we had this semi similar or so's
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comparing both techniques almost or in the wind around half kilo force
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and what surprises that says that uh patients hats and that there were so cinema
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to lose traction than a limerick construction that uh i will talk about later
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ah that's typical time whereas similar and these are the record company and complications are
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in there before one up at six months or patients where where almost okay
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um it is so many papers in the literature or
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talking about this question um our study seems to
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to have more or less the same there's shows that uh
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talking the and the and pinch uh they are similar
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similar results handing the quick patch uh seems to improve
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are around sixty percent in the image on the structure group and around thirty percent in in the modify will be
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we are not sure we were surprises to uh to press
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it by ear every souls because um uh we used
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to perform the last ten years eh modify will be
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i we were expecting that their souls probably um
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it was high dispersion that they're really in in the um the will be
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within that that's just the study purposes we will have homework great uh i'm very souls
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these are the strengths and the weaknesses of our study and as a completion we could
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say that uh in short term followup just
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ranks are a similar in both techniques
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functional out on it seems that the reset trained ah forty eight c. eight
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that there is a notion as you can because uh we applied a non parametric data
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um complication some surgical time are comparable with a push reports
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uh i would like to thank uh the power that's followed to encourage us
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to this is that it and also the audience forcing think your
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hi thank you very much for you
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know is a presentation with
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calls be interesting to follow the long term results of your
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a prospective study eh actually one question sure the studies blinded you
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must uh performed the the property painting of the first uh
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which couple even the tailor a t. i. group is that the case so far
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did you perform the the property of others would call what we're gonna
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stand there was a relief i will be for the last ten
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years i guess uh and and we decided to to the to this
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trial to compare if if they wear a a similar resource
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uh in the davies uh which of course that no
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more complexity use more or or whatever so so
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i i don't know if i'm asking you which you know as you if you were performing
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property painting since you did that in the h. t. a. procedure did you
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also did that in the bible you if the bottle plastic yeah
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i yeah we've been would make a big distraction and place a one point five k. wire in both procedures
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no no no no but the most traction with been ah and what if i would be without in
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question from the audience
