Custom-made vs. prefabricated orthosis: reduced risk of skin complication in mallet injury .
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Custom-Made Finger Orthoses Have Fewer Skin Complications Than Prefabricated Finger Orthoses in the Management of Mallet Injury: A Systematic Review and Meta-Analysis
Arch Phys Med Rehabil. 2015 Oct;96(10):1913-1923.e1.Seven controlled trials comparing prefabricated orthoses to custom-made orthoses for conservative treatment of mallet injury were included in this systematic review and meta-analysis. The purpose was to compare orthosis types in terms of skin complication, degree of extensor lag and rate of treatment success/failure in order to determine whether the use of one orthoses type is advantageous over the other in terms of patient outcome. Custom-made orthoses were found to reduce the risk of skin complication compared to prefabricated orthoses, but no significant difference in extensor lag or rate of treatment success/failure was observed. Additionally, patient pain, satisfaction, and adherence was similar the two groups of orthoses.
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