Comparison of Custom-made Versus Prefabricated Thumb Splinting for Carpometacarpal Arthrosis: A Systematic Review and Meta-analysis

Baradaran, Aslan and Baradaran, Ashkan and Ebrahimzadeh, Mohammad H. and Kachooei, Amir R. and Rivlin, Michael and Beredjiklian, Pedro (2018) Comparison of Custom-made Versus Prefabricated Thumb Splinting for Carpometacarpal Arthrosis: A Systematic Review and Meta-analysis. The Archives of Bone and Joint Surgery, 6 (6). pp. 478-485.

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Abstract

Background: The goal of this study was to compare the two types of orthoses, prefabricated soft splints versus shortthermoplastic custom-made splints, that are the most commonly used for the management of first carpometacarpal(CMC) osteoarthritis (OA).Methods: We conducted a meta-analysis and systematic review in the literature based on the Preferred ReportingItems for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We extracted the outcomes of disabilityscores, pain scores, grip and pinch strength and gathered the unified data accordingly.Results: We included five randomized clinical trials with 230 patients with the mean age of 61 years and the meanfollow-up of 8.1 weeks. The results of the pooled data demonstrated only a statistically significant difference in disabilityscores among splints in favor of the prefabricated splints. The rest of the outcome measures consisting of pain, gripstrength, and pinch strength were not statistically different.Conclusion: According to our systematic review and meta-analysis, both thumb-based splints improved pain andfunction in the first CMC OA in a short-term follow-up, nevertheless the efficacy of prefabricated splints in abatement ofdisability scores was significantly higher than custom-made splints. In contrast, the other outcome measures includingpain, grip and pinch strength were improved identically after wearing either of the splints.Level of evidence: II

Item Type: Article
Subjects: WE Musculoskeletal system
WO Surgery
Divisions: Journals > Archives of Bone & Joint Surgery
Depositing User: abjs abjs
Date Deposited: 12 Dec 2018 09:06
Last Modified: 12 Dec 2018 09:06
URI: http://eprints.mums.ac.ir/id/eprint/10591

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