PDF(Pubmed)
Abstract：
Isolated radial nerve palsy is a debilitating injury that may potentially be reconstructed with either tendon transfers, nerve grafts, or nerve transfers. Currently, there is no consensus on the optimal technique for reconstruction. We performed a systematic review and analysis to determine which surgical intervention provides the best clinical outcomes.
A systematic review was conducted according to PRISMA guidelines. Twenty-nine papers met inclusion criteria. Grading scales of function and strength were converted into a tripartite scoring system to compare outcomes between techniques. χ2 analyses were performed with a P value < .05.
Seven hundred fifty-four patients were analyzed. Tendon transfers resulted in the highest percentage of good outcomes (82%) and the lowest percentage of poor outcomes (9%). Tendon transfers were superior to nerve grafts and nerve transfers for restoration of wrist extension. Nerve transfers for wrist extension were superior to nerve transfers for finger extension. Nerve grafts and nerve transfers had equivalent rates of good and poor clinical outcomes.
This study analyzed reported outcomes of tendon transfers, nerve grafts, and nerve transfers for reconstruction of isolated radial nerve palsy. On pooled analysis, tendon transfers had higher rates of superior clinical outcomes as compared with nerve transfers and nerve grafts. Tendon transfers should be considered first-line reconstruction for isolated radial nerve palsy as nerve-based reconstruction is less predictable and reproducible.
A systematic review was conducted according to PRISMA guidelines. Twenty-nine papers met inclusion criteria. Grading scales of function and strength were converted into a tripartite scoring system to compare outcomes between techniques. χ2 analyses were performed with a P value < .05.
Seven hundred fifty-four patients were analyzed. Tendon transfers resulted in the highest percentage of good outcomes (82%) and the lowest percentage of poor outcomes (9%). Tendon transfers were superior to nerve grafts and nerve transfers for restoration of wrist extension. Nerve transfers for wrist extension were superior to nerve transfers for finger extension. Nerve grafts and nerve transfers had equivalent rates of good and poor clinical outcomes.
This study analyzed reported outcomes of tendon transfers, nerve grafts, and nerve transfers for reconstruction of isolated radial nerve palsy. On pooled analysis, tendon transfers had higher rates of superior clinical outcomes as compared with nerve transfers and nerve grafts. Tendon transfers should be considered first-line reconstruction for isolated radial nerve palsy as nerve-based reconstruction is less predictable and reproducible.
摘要：
未经证实：孤立的radial神经麻痹是一种衰弱性损伤，可能通过肌腱转移重建，神经移植物,或者神经转移。目前,关于重建的最佳技术没有共识。我们进行了系统回顾和分析，以确定哪种手术干预提供了最佳的临床结果。
UNASSIGNED：根据PRISMA指南进行了系统审查。29篇论文符合纳入标准。将功能和力量的分级量表转换为三方评分系统，以比较技术之间的结果。进行χ2分析，P值<0.05。
未经授权：分析了754例患者。肌腱转移导致良好结果的百分比最高（82％）和不良结果的百分比最低（9％）。肌腱转移在恢复腕关节伸展方面优于神经移植和神经转移。用于手腕伸展的神经转移优于用于手指伸展的神经转移。神经移植和神经转移的良好和不良临床结局的发生率相同。
UNASSIGNED：本研究分析了报告的肌腱转移结果，神经移植物,和神经转移重建孤立的桡神经麻痹。在汇总分析中，与神经转移和神经移植相比，肌腱转移具有更高的临床疗效。对于孤立的radial神经麻痹，应考虑进行肌腱转移的一线重建，因为基于神经的重建可预见性和可重复性较差。
UNASSIGNED：根据PRISMA指南进行了系统审查。29篇论文符合纳入标准。将功能和力量的分级量表转换为三方评分系统，以比较技术之间的结果。进行χ2分析，P值<0.05。
未经授权：分析了754例患者。肌腱转移导致良好结果的百分比最高（82％）和不良结果的百分比最低（9％）。肌腱转移在恢复腕关节伸展方面优于神经移植和神经转移。用于手腕伸展的神经转移优于用于手指伸展的神经转移。神经移植和神经转移的良好和不良临床结局的发生率相同。
UNASSIGNED：本研究分析了报告的肌腱转移结果，神经移植物,和神经转移重建孤立的桡神经麻痹。在汇总分析中，与神经转移和神经移植相比，肌腱转移具有更高的临床疗效。对于孤立的radial神经麻痹，应考虑进行肌腱转移的一线重建，因为基于神经的重建可预见性和可重复性较差。
