Related ACE Reports
- Published: Mar 2017
- ACE Report #9546
AAOS2017: Early mobilization vs. immobilization after basal joint arthroplasty
Study Type: Randomized Trial
OE Level of Evidence: N/A
Journal Level of Evidence: N/A
CONFERENCE ACE REPORTS
This ACE Report is a summary of a conference presentation or abstract. The information provided has limited the ability to provide an accurate assessment of the risk of bias or the overall quality. Please interpret the results with caution as trials may be in progress and select results may have been presented.
Why was this study needed now?
Ligament reconstruction and tendon interposition (LRTI) is often performed in cases of carpometacarpal joint osteoarthritis nonresponsive to conservative treatment. The topic of postoperative rehabilitation has been popular recently, with debate regarding whether early mobilization within a few weeks postoperatively can be used safely as opposed to standard immobilization for 6 weeks or more.
What was the principal research question?
Following basal joint arthroplasty, how do clinical outcomes of early motion rehabilitation compare to that of traditional rehabilitation with prolonged immobilization when assessed over the first 12 weeks postoperatively?
|Population:||27 patients scheduled for ligament reconstruction and tendon interposition of the carpometacarpal joint. Following surgery, thumbs in all patients were immobilized for 2 weeks using a spica plaster splint.|
|Intervention:||Early mobilization: After 2 weeks of immobilization, patients were switched to a neoprene CMC joint wrap, and were allowed activity as tolerated. (n=13)|
|Comparison:||Immobilization group: After the first 2 weeks of immobilization, patients continued immobilization using a thumb-spica cast or splint for an additional 4 weeks. (n=14)|
|Outcomes:||Outcomes included the Disabilities of the Arm, Shoulder, and Hand (DASH) score, a visual analog scale (VAS) for pain, pinch and grip strength, and range of motion.|
|Time:||Follow-up scheduled for 6 and 12 weeks postoperatively.|
What were the important findings?
What should I remember most?
How will this affect the care of my patients?
The authors responsible for this critical appraisal and ACE Report indicate no potential conflicts of interest relating to the content in the original publication.