Sun Guantong, Li Xiaodong, Dai Jingjing
Department of Orthopedics, Shanghai Ninth People's Hospital Shanghai Jiao Tong University School of Medicine Shanghai China.
Nursing Department, Shanghai Ninth People's Hospital Shanghai Jiao Tong University School of Medicine Shanghai China.
Health Sci Rep. 2024 Nov 18;7(11):e70156. doi: 10.1002/hsr2.70156. eCollection 2024 Nov.
To explore the clinical effect of personalized brace based on 3D printing technology in the treatment of stenosing tenosynovitis.
From September 2021 to June 2023, 20 patients with stenosing tenosynovitis were collected and randomly divided into the experimental group and the control group, with 10 cases in each group, and each patient signed an informed consent. The experimental group was treated with personalized brace combined with External Diclofenac Diethalamine Emulgel, and the control group was treated with External Diclofenac Diethalamine Emulgel, and the clinical efficacy and pain scores of the two groups were compared.
After 8 weeks of treatment, the degree of pain relief, metacarpophalangeal joint mobility and proximal interphalangeal joint mobility of the experimental group were significantly higher than those of the control group. The activity pain scores of both groups were reduced, but the experimental group was significantly lower than the control group ( < 0.05).
For the treatment of patients with stenosing tenosynovitis, it is recommended to use personalized stenosing tenosynovitis brace therapy based on 3D printing technology combined with External Diclofenac Diethalamine Emulgel at the first visit, which can significantly reduce finger pain and improve hand function.
探讨基于3D打印技术的个性化支具治疗狭窄性腱鞘炎的临床效果。
收集2021年9月至2023年6月期间20例狭窄性腱鞘炎患者，随机分为实验组和对照组，每组10例，每位患者均签署知情同意书。实验组采用个性化支具联合双氯芬酸二乙胺乳胶剂外用治疗，对照组采用双氯芬酸二乙胺乳胶剂外用治疗，比较两组的临床疗效及疼痛评分。
治疗8周后，实验组的疼痛缓解程度、掌指关节活动度和近端指间关节活动度均显著高于对照组。两组的活动疼痛评分均降低，但实验组显著低于对照组（<0.05）。
对于狭窄性腱鞘炎患者的治疗，建议初诊时采用基于3D打印技术的个性化狭窄性腱鞘炎支具治疗联合双氯芬酸二乙胺乳胶剂外用，可显著减轻手指疼痛，改善手部功能。
