TY - JOUR ID - 11723 TI - Comparison of Custom-made Versus Prefabricated Thumb Splinting for Carpometacarpal Arthrosis: A Systematic Review and Meta-analysis JO - The Archives of Bone and Joint Surgery JA - ABJS LA - en SN - 2345-4644 AU - Baradaran, Aslan AU - Baradaran, Ashkan AU - Ebrahimzadeh, Mohammad H. AU - Kachooei, Amir R. AU - Rivlin, Michael AU - Beredjiklian, Pedro AD - Department of Orthopaedic Surgery, Montréal General Hospital, McGill University, Canada AD - Orthopedic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran AD - Orthopedic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran Department of Hand and Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, USA AD - Department of Hand and Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, USA Y1 - 2018 PY - 2018 VL - 6 IS - 6 SP - 478 EP - 485 KW - Carpometacarpal joint KW - Meta-analysis KW - Splint KW - Systematic review DO - 10.22038/abjs.2018.34688.1909 N2 - 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 UR - https://abjs.mums.ac.ir/article_11723.html L1 - https://abjs.mums.ac.ir/article_11723_64759c2aa4acaf15c33e9ce7bbb03a40.pdf ER -