Journal
HAND SURGERY & REHABILITATION
Volume 41, Issue 1, Pages 2-6Publisher
ELSEVIER
DOI: 10.1016/j.hansur.2021.08.010
Keywords
End-to-side anastomosis; End-to-side neurorrhaphy; Nerve regeneration; Nerve transfer; Peripheral nerve injuries
Categories
Ask authors/readers for more resources
This study conducted a systematic review to assess the clinical applicability of end-to-side neurorrhaphy in peripheral nerve reconstruction, and found that clinical studies lack scientific evidence on this technique.
Acute peripheral nerve injuries are common and can cause physical disabilities with sensory and functional sequelae; they therefore require surgery. The aim of this study was to conduct a systematic review to assess the clinical applicability of end-to-side neurorrhaphy in peripheral nerve reconstruction, based on available evidence. We carried out a systematic review of the literature using MEDLINE/PubMed, EMBASE, Cochrane Library, Web of Science, Scielo and Scopus through March 16, 2021. Most of the selected studies were qualitative and employed nonrandomized groups of patients, without standardized scales for assessing outcomes, which made statistical analysis difficult. Efficacy varied from 24% to 81%. Factors for better outcome included the type of injury, type of injured nerve (sensory, motor or mixed), presence of an epineural window, topography, injury extension <1.3 cm, and intervention within 2 weeks of injury. Clinical studies so far lack scientific evidence on end-to-side neurorrhaphy in peripheral nerve lesions. xe002;C 2021 SFCM. Published by Elsevier Masson SAS. All rights reserved.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available