Study design Randomized clinical trial. Introduction Although orthotic immobilization has become the preferable treatment choice for closed mallet injuries, it is unclear whether orthosis self-removal has an impact on the final outcome. Purpose To evaluate the treatment efficacy of cast immobilization of closed mallet fingers using Quickcast® (QC) compared to a removable, lever-type thermoplastic orthosis (LTTP). Methods 57 subjects were randomized in 2 groups. DIPj extensor lag and the Gaberman success scale were used as primary outcomes. Results LTTP subjects resulted in greater extensor lag than QC subjects (x = 5°; p = 0.05) at 12 weeks from baseline, and high edema and older age negatively affected DIPj extensor lag. No other differences were found between groups. Conclusion Cast immobilization seems to be slightly more effective than the traditional approach probably for its greater capacity to reduce edema. Level of evidence 1B.

Effectiveness of cast immobilization in comparison to the gold-standard self-removal orthotic intervention for closed mallet fingers: A randomized clinical trial / Tocco, S; Boccolari, P; Landi, A; Leonelli, C; Mercanti, C; Pogliacomi, Francesco; Sartini, S; Zingarello, L; Nedelec, B.. - In: JOURNAL OF HAND THERAPY. - ISSN 0894-1130. - 26(2013), pp. 191-201. [10.1016/j.jht.2013.01.004]

Effectiveness of cast immobilization in comparison to the gold-standard self-removal orthotic intervention for closed mallet fingers: A randomized clinical trial.

POGLIACOMI, Francesco;
2013-01-01

Abstract

Study design Randomized clinical trial. Introduction Although orthotic immobilization has become the preferable treatment choice for closed mallet injuries, it is unclear whether orthosis self-removal has an impact on the final outcome. Purpose To evaluate the treatment efficacy of cast immobilization of closed mallet fingers using Quickcast® (QC) compared to a removable, lever-type thermoplastic orthosis (LTTP). Methods 57 subjects were randomized in 2 groups. DIPj extensor lag and the Gaberman success scale were used as primary outcomes. Results LTTP subjects resulted in greater extensor lag than QC subjects (x = 5°; p = 0.05) at 12 weeks from baseline, and high edema and older age negatively affected DIPj extensor lag. No other differences were found between groups. Conclusion Cast immobilization seems to be slightly more effective than the traditional approach probably for its greater capacity to reduce edema. Level of evidence 1B.
2013
Effectiveness of cast immobilization in comparison to the gold-standard self-removal orthotic intervention for closed mallet fingers: A randomized clinical trial / Tocco, S; Boccolari, P; Landi, A; Leonelli, C; Mercanti, C; Pogliacomi, Francesco; Sartini, S; Zingarello, L; Nedelec, B.. - In: JOURNAL OF HAND THERAPY. - ISSN 0894-1130. - 26(2013), pp. 191-201. [10.1016/j.jht.2013.01.004]
File in questo prodotto:
File Dimensione Formato  
Article in pubblicato hand therapy.pdf

non disponibili

Tipologia: Altro materiale allegato
Licenza: Creative commons
Dimensione 558.95 kB
Formato Adobe PDF
558.95 kB Adobe PDF   Visualizza/Apri   Richiedi una copia

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11381/2580645
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 28
  • ???jsp.display-item.citation.isi??? 24
social impact