Eyiis Esra, Mathijssen Nina M C, Kok Petra, Sluijter Judith, Kraan Gerald A
Department of Orthopaedics, Reinier de Graaf Hospital, Delft, The Netherlands.
Reinier Haga Orthopedic Center, Zoetermeer, The Netherlands.
J Hand Surg Eur Vol. 2023 May;48(5):412-418. doi: 10.1177/17531934221146864. Epub 2023 Jan 17.
We investigated the non-operative management of trapeziometacarpal osteoarthritis with a three-dimensional (3-D) printed patient-customized brace compared with a conventional plaster brace. Fifty-two patients with symptomatic trapeziometacarpal osteoarthritis were enrolled in a 9-week crossover study, which was designed as a randomized controlled trial of two periods of 4-week brace therapies. The primary outcome was patient satisfaction measured with the Dutch version of the Quebec User Evaluation of Satisfaction with Assistive Technology questionnaire survey. Secondary outcomes included pain, patient-reported function, functional hand strength measured by pinch and grip strength, and compliance assessed through a daily log of self-reported brace usage. The 3-D printed patient-customized brace had higher patient satisfaction and compliance than the conventional plaster brace. Patients preferred the 3-D printed customized brace (93%) rather than the conventional plaster brace (7%). This suggests that the 3-D printed patient-customized brace is effective in the non-operative management of trapeziometacarpal osteoarthritis. I.
我们研究了三维（3-D）打印的患者定制支具与传统石膏支具相比，在治疗第一掌腕关节骨关节炎非手术治疗中的效果。52例有症状的第一掌腕关节骨关节炎患者参与了一项为期9周的交叉研究，该研究设计为两个为期4周的支具治疗阶段的随机对照试验。主要结局指标是使用荷兰版《魁北克辅助技术用户满意度调查问卷》测量的患者满意度。次要结局指标包括疼痛、患者报告的功能、通过捏力和握力测量的手部功能强度，以及通过每日自我报告的支具使用记录评估的依从性。3-D打印的患者定制支具比传统石膏支具具有更高的患者满意度和依从性。患者更喜欢3-D打印的定制支具（93%）而非传统石膏支具（7%）。这表明3-D打印的患者定制支具在第一掌腕关节骨关节炎的非手术治疗中是有效的。I.
