Peripheral Nerve Injury and Repair
Comparisons of Outcomes from Repair of Median Nerve and Ulnar Nerve Defect with Nerve Graft and Tubulization: A Meta-Analysis
Yang M, Rawson JL, Zhang EW, et al (Univ of Mississippi Med Ctr, Jackson; et al) J Reconstr Microsurg 27:451-460, 2011§
Evidence Ranking
• B
Expert Rating
• 1
Abstract
In this study, an updated meta-analysis of all published human studies was presented to evaluate the recovery of the median and the ulnar nerves in the forearm after defect repair by nerve conduit and autologous nerve graft. Up to June of 2010, search for English language articles was conducted to collect publications on the outcome of median or ulnar nerve defect repair. A total of 33 studies and 1531 cases were included in this study. Patient information was extracted from these publications and the postoperative outcome was analyzed using meta-analysis. There was no significant difference in the postoperative recovery between the median and the ulnar nerves (odds ratio = 0.98). Sensory nerves were found to achieve a more satisfactory recovery after nerve defect repair than motor nerves (p < 0.05). Median nerve can also achieve more satisfactory recovery in both sensory and motor function than ulnar nerve (p
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