Article

Nonrandomized mixed current and historical cohort follow-up study.
The purpose of the study was to test the effectiveness of static splinting after
arthroplasty in patients with osteoarthritis. Dynamic splinting is recommended
after proximal interphalangeal joint pyrocarbon implant arthroplasty; however,
static splinting may be more feasible to deliver. Nine consecutive patients
received static splinting in this study. These patients were compared with those
of a historical control group
(n = 10) who received dynamic splinting. Function
and performance variables were measured preoperatively and 3 months after
surgery. All patients underwent surgery by the same hand surgeon, and most of the
patients were treated by the same certified hand therapist. Both static and
dynamic groups showed improvement on several function and performance measures.
Compared with the dynamic group, the static group showed greater improvements in
the Michigan. Hand Outcomes Questionnaire subset of work performance (21.00 +/-
14.75 vs 3.13 +/- 14.13, p < 0.05) and Jebsen-Taylor Test
(-11.58 +/- 5.44 vs
-2.81 +/- 3.23, p < 0.03). Patients who received static splinting had similar
outcomes to those who received the dynamic splinting. Static splinting requires
less therapist training and offers greater patient convenience and is a promising
protocol that should be evaluated in a larger study.
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