Article

PURPOSE: To assess the efficacy, usability and tolerability of a dynamic orthosis
compared with a standard plaster splint after the reconstruction of elbow medial
or lateral collateral ligaments (MCL, LCL). METHODS:
Twenty-six subjects
undergoing MCL (n = 23) or LCL (n = 3) reconstruction were randomly assigned to
immobilization with an orthosis (n = 13; group A "Innovator X") or with a plaster
splint (n = 13; group B "Plaster splint"). Outcome measures were visual analogue
scale pain score, mid-arm (MA) circumference, grip strength, Oxford elbow score
(OES) and range of motion (ROM). Patients were assessed at baseline and at 2, 6,
12 and 24 weeks. RESULTS: Significant pain reduction was reported by all patients
at 6, 12 and 24 weeks (p < 0.05). Mean MA circumference was significantly higher
in group A at all time points (all p < 0.05). Mean grip strength was greater in
group A on weeks 2 and 6 (p < 0.05), whereas the difference found on weeks 12 and
24 was not significant. The OES and passive ROM values of the two groups were not
significantly different at any time point. CONCLUSIONS: The dynamic orthosis and
the plaster splint both provided effective and safe elbow immobilization after
MCL or LCL reconstruction. The orthosis provided greater pain reduction, faster
recovery of muscle trophism and grip strength, and was better tolerated.

Langue : ANGLAIS