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The Archives of Bone and Joint Surgery، جلد ۶، شماره ۶، صفحات ۰-۰
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عنوان انگلیسی Comparison of Custom-made Versus Prefabricated Thumb Splinting for Carpometacarpal Arthrosis: A Systematic Review and Meta-analysis
چکیده انگلیسی مقاله Purpose: The goal of this study is to compare two types of orthoses, prefabricated soft splints and short thermoplastic custom-made splints, that are the most common and currently prescribed for management of the first carpometacarpal (CMC) osteoarthritis (OA). Methods: We conducted a meta-analysis and systematic review on the literature based on 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. Results: We included fives randomized clinical trials with 230 patients with the mean age of 61 years and the mean follow-up was 8.1 weeks. The results of the meta-analysis of the pooled data demonstrated a statistically significant difference in disability scores among splints in favor of prefabricated splints. The rest of the outcome measures consisting of pain, grip strength, and pinch strength were not statistically different. Conclusion: According to our systematic review and meta-analysis both thumb-based splints improve pain and function in 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 wearing each splint.
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نویسندگان مقاله | Aslan Baradaran
Department of Orthopaedic Surgery, Montréal General Hospital, McGill University.


| Ashkan Baradaran
Orthopedic Research Center, Mashhad University of Medical Sciences.


| Mohammad H. Ebrahimzadeh
mashad university of medical sciences


| Amir R. Kachooei
Mashhad University Of Medical Sciences Mashhad Iran


| Michael Rivlin
Department of Hand and Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University.


| Pedro Beredjiklian
Department of Hand and Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University.
نشانی اینترنتی http://abjs.mums.ac.ir/article_11723.html
فایل مقاله اشکال در دسترسی به فایل - ./files/site1/rds_journals/328/article-328-994378.pdf
کد مقاله (doi)
زبان مقاله منتشر شده en
موضوعات مقاله منتشر شده
نوع مقاله منتشر شده SYSTEMATIC REVIEW
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