Baradaran Aslan, Baradaran Ashkan, Ebrahimzadeh Mohammad H, Kachooei Amir R, Rivlin Michael, Beredjiklian Pedro
Research performed at Orthopedic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Orthopaedic Surgery, Montréal General Hospital, McGill University, canada.
Arch Bone Jt Surg. 2018 Nov;6(6):478-485.
The goal of this study was to compare the two types of orthoses, prefabricated soft splints versus short thermoplastic custom-made splints, that are the most commonly used for the management of first carpometacarpal (CMC) osteoarthritis (OA).
We conducted a meta-analysis and systematic review in the literature based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We extracted the outcomes of disability scores, pain scores, grip and pinch strength and gathered the unified data accordingly.
We included five randomized clinical trials with 230 patients with the mean age of 61 years and the mean follow-up of 8.1 weeks. The results of the pooled data demonstrated only a statistically significant difference in disability scores among splints in favor of the prefabricated splints. The rest of the outcome measures consisting of pain, grip strength, and pinch strength were not statistically different.
According to our systematic review and meta-analysis, both thumb-based splints improved pain and function in the first CMC OA in a short-term follow-up, nevertheless the efficacy of prefabricated splints in abatement of disability scores was significantly higher than custom-made splints. In contrast, the other outcome measures including pain, grip and pinch strength were improved identically after wearing either of the splints.
II.
本研究的目的是比较两种最常用于治疗第一掌腕关节（CMC）骨关节炎（OA）的矫形器，即预制软夹板与短热塑性定制夹板。
我们根据系统评价和Meta分析的首选报告项目（PRISMA）指南，对文献进行了Meta分析和系统评价。我们提取了残疾评分、疼痛评分、握力和捏力的结果，并相应地收集了统一的数据。
我们纳入了五项随机临床试验，共230例患者，平均年龄61岁，平均随访8.1周。汇总数据结果显示，夹板之间仅在残疾评分上存在统计学显著差异，预制夹板更具优势。其余包括疼痛、握力和捏力的结果指标无统计学差异。
根据我们的系统评价和Meta分析，两种拇指夹板在短期随访中均改善了第一掌腕关节OA的疼痛和功能，然而预制夹板在降低残疾评分方面的疗效显著高于定制夹板。相比之下，佩戴任何一种夹板后，包括疼痛、握力和捏力在内的其他结果指标改善程度相同。
II级。
