Chinese Journal of Tissue Engineering Research ›› 2014, Vol. 18 ›› Issue (51): 8358-8364.doi: 10.3969/j.issn.2095-4344.2014.51.029

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Meta-analysis of limited mini incision release and traditional open carpal tunnel release for treatment of carpal tunnel syndrome

Aikeremu Wupuer, Jiasharete Jielile, Aihemaitijiang Yusufu, Abulaiti Abula, Abuduheilili Maimaitiaili,     Liu Ya-fei, Ayinazi, Huang Yong, Yang Peng-fei   

  1. Department of Microsurgery and Reconstruction Surgery, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, Xinjiang Uygur Autonomous Region, China
  • Online:2014-12-10 Published:2014-12-10
  • Contact: Jiasharete Jielile, Associate professor, Associate chief physician, Master’s supervisor, Department of Microsurgery and Reconstruction Surgery, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, Xinjiang Uygur Autonomous Region, China
  • About author:Aikeremu Wupuer, Studying for master’s degree, Department of Microsurgery and Reconstruction Surgery, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, Xinjiang Uygur Autonomous Region, China
  • Supported by:

    the National Natural Science Foundation of China, No. 81460337

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Abstract:

BACKGROUND: Since 1991, many physicians try to combine the small open-incision along the wrist crease with traditional carpal tunnel release that is simple and safe to reduce tissue damage and recurrence rate. But what kind of techniques is superior has been controversial.
OBJECTIVE: To compare the efficacy and safety of limited mini incision (non-endoscopic) carpal tunnel release with traditional open carpal tunnel release for carpal tunnel syndrome.
METHODS: Based on Cochrane Systematic Review, we searched through the MEDLINE (1966-01/2010-03), EMBASE (1966-01/2014-05), Cochrane Library (2014-05) and CBM disc (1979-01/2013-12), and relevant  seven Chinese and English orthopedic journals by hand. Then, we collected all the randomized control trials related to carpal tunnel syndrome. The quality of trials was critically assessed. The Revman5.2.2 that provided by Cochrane Collaboration was used for data management and analysis on the evidence of the difference in the efficacy and safety of limited mini incision carpal tunnel release versus traditional open carpal tunnel release.
RESULTS AND CONCLUSION: Totally seven randomized controlled trials were included by total retrieve and screening. The results of meta-analysis showed no significant differences in the scar tenderness, pillar pain, subjective satisfaction and recovery time between groups of limited mini incision carpal tunnel release and traditional open carpal tunnel release (P > 0.05). The rate of complications and operation time in group of limited mini incision carpal tunnel release were lower than those in group of traditional open carpal tunnel release (P < 0.05). Compared with the traditional open carpal tunnel release, the limited mini incision carpal tunnel release can reduce the rate of postoperative complications rate and operation time. There is no significant statistical difference in the rate of scar tenderness, pillar pain, subjective satisfaction and recovery time between the two approaches. However, owing to the limitations of study quality and sample size, the relationship of the surgical approaches with recovery time, postoperative pain and hand grip and pinch needs further studies.



中国组织工程研究杂志出版内容重点：组织构建；骨细胞；软骨细胞；细胞培养；成纤维细胞；血管内皮细胞；骨质疏松；组织工程


全文链接：

Key words: carpal tunnel syndrome, pain, joint capsule release

CLC Number: