Systematic review and meta-analysis of surgical options for recurrent or persistent carpal tunnel syndrome: simple decompression versus coverage of the median nerve
| Autor: | Brigitte van der Heijden, Saskia F de Roo, Philippe N. Sprangers, Erik T Walbeehm |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Reoperation
medicine.medical_specialty Decompression Less invasive 030230 surgery Surgical Flaps 03 medical and health sciences 0302 clinical medicine Humans Medicine Carpal tunnel syndrome 030222 orthopedics business.industry Median Neuropathy Decompression Surgical medicine.disease Carpal Tunnel Syndrome Median nerve Median Nerve Surgery Nerve compression syndrome Reconstructive and regenerative medicine Radboud Institute for Health Sciences [Radboudumc 10] Meta-analysis Implant business |
| Zdroj: | Journal of Hand Surgery. European Volume, 46, 7, pp. 749-753 Journal of Hand Surgery. European Volume, 46, 749-753 |
| ISSN: | 1753-1934 |
| Popis: | Item does not contain fulltext We performed a systematic review on the success of different surgical techniques for the management of recurrent and persistent carpal tunnel syndrome. Twenty studies met the inclusion criteria and were grouped by the type of revision carpal tunnel release, which were simple open release, open release with flap coverage or open release with implant coverage. Meta-analysis showed no difference, and pooled success proportions were 0.89, 0.89 and 0.85 for simple open carpal tunnel release, additional flap coverage and implant groups, respectively. No added value for coverage of the nerve was seen. Our review indicates that simple carpal tunnel release without additional coverage of the median nerve seems preferable as it is less invasive and without additional donor site morbidity. We found that the included studies were of low quality with moderate risk of bias and did not differentiate between persistent and recurrent carpal tunnel syndrome. |
| Databáze: | OpenAIRE |
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