Rigid versus semi-rigid orthotic use following TMC arthroplasty: A randomized controlled trial

Prosser, Rosemary; Hancock, Mark J.; Nicholson, Leslie L.; Merry, Cathy; Thorley, Felicity; Wheen, Douglass

doi:10.1016/j.jht.2014.06.002

Cited by 12 publications

(13 citation statements)

References 25 publications

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“…18 studies from high-impact journals 13 - 18 , 21 ,23, 26 , 28 , 29 , 32 - 35 , 37 - 39 (defined as Qualis/CAPES A1, A2, B1, AND/OR impact factor above 1.5);…”

Section: Methodsmentioning

confidence: 99%

Applicability of Randomized Trials in Hand Surgery: Survey Study

et al. 2018

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Objective To assess the applicability of randomized clinical trials and whether certain factors (surgeon experience/journal impact factor) influence their applicability.Methods In this survey study we used the Pubmed/Medline database to select 32 consecutive randomized clinical trials published between 2013 and 2015, involving hand surgery (high/low impact). These studies were independently assessed by 20 hand surgeons (with more or less than 10 years of practice) who answered 4 questions regarding their applicability. Agreement was assessed using Cohen’s kappa and comparison of proportions via chi-square statistics. P-value <5% constituted statistical significance.Results A total of 640 evaluations were produced, generating 2560 responses. A weak correlation was observed between less and more experienced respondents (kappa <0.2; range 0.119–0.179). Applicability between the least and most experienced respondents was similar (p = 0.424 and p = 0.70). Stratification by journal impact factor showed no greater propensity of applicability (p = 0.29) for any of the groups.Conclusions Low agreement was found between the respondents for the applicability of the randomized studies. Surgeon experience and journal impact do not seem to influence this decision. Level of Evidence II, Prospective comparative study.

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“…18 studies from high-impact journals 13 - 18 , 21 ,23, 26 , 28 , 29 , 32 - 35 , 37 - 39 (defined as Qualis/CAPES A1, A2, B1, AND/OR impact factor above 1.5);…”

Section: Methodsmentioning

confidence: 99%

Applicability of Randomized Trials in Hand Surgery: Survey Study

et al. 2018

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“…Either shortening the length of cast immobilization or using a simirigid orthosis has the potential to make postoperative recovery less burdensome for patients. 4 Additional studies are needed to determine the minimum amount of time patients need to be fully immobilized after trapeziectomy with LRTI, as currently no study has tested use of at least a semirigid forearm orthosis for <4 weeks compared with a more conservative time frame. The type of orthosis is also a potential area of interest.…”

Section: Length and Type Of Immobilizationmentioning

confidence: 99%

“…The most commonly performed technique in the United States is currently trapeziectomy with LRTI. 11,12 This was used in Hutchinson et al 8 and Prosser et al 4 while the Weilby procedure (trapeziectomy with suspensionplasty) was used in Tsehaie et al 7 and simple trapeziectomy was used in Horlock and Belcher. 10 Finally, surveys cited in this review from the ASSH and American Society of Hand Therapists had low response rates (19% to 40%), possibly introducing response bias.…”

Section: Limitationsmentioning

confidence: 99%

“…1e3 Specifically, many differences exist in the recommended length of immobilization (range, 2e12 weeks), type of orthotic device (semirigid, rigid), when to start hand rehabilitation (range, 1e6 weeks), and the use of formal, in-person hand therapy; self-directed therapy; or virtual options. 1,2,4 A systematic review in 2014 by Wolfe et al 2 sought to identify therapy protocols after surgical procedures for basal joint arthritis, with specific focus on whether the length and type of postoperative immobilization affected clinical results, a comparison of therapy protocols that were prescribed, and an evaluation of whether the time at which patients were released to full activity affected clinical results. They found that no definitive conclusions could be made because of considerable variation in the literature regarding the types and durations of postoperative immobilization, postoperative exercise, therapist referral patterns, and when patients were permitted to return to full activity.…”

mentioning

confidence: 99%

“… 1 , 2 , 3 Specifically, many differences exist in the recommended length of immobilization (range, 2–12 weeks), type of orthotic device (semirigid, rigid), when to start hand rehabilitation (range, 1–6 weeks), and the use of formal, in-person hand therapy; self-directed therapy; or virtual options. 1 , 2 , 4 …”

mentioning

confidence: 99%

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