Author(s) |
Chen et al18 |
Sayegh et al21 |
Vasiliadis et al22 |
Li et al17 |
Year |
2014 |
2015 |
2015 |
2020 |
No. of studies |
15 |
21 |
27 |
28 |
Symptom relief |
Pain relief by VAS at < 3 mo: RR = 1.13 (U) [0.98, 1.31]; P = 0.10; n = 470 Pain relief by VAS at > 3 mo: RR 1.02 (U) [0.92, 1.14]; P = 0.71; n = 340 |
BCTQ-S: SMD = 0.04 (O) [−0.11, 0.18]; P = 0.64; n = 715 BCTQ-F: SMD = −0.06 (E) [−0.30, 0.19]; P = 0.65; n = 592 VAS: MD = −0.13 (E) [−0.55, 0.28]; P = 0.53; n = 455 |
Recurrence: OR = 1.02 (O) [0.55, 1.90]; P > 0.05; n = 1,684 |
BCTQ-S at 1 yr: MD = 0.15 (E) [−0.04, 0.35]; P = 0.13; n = 592 BCTQ-F at 1 yr: MD = 0.17 (E) [−0.02, 0.36]; P = 0.08; n = 592 |
Grip strength |
At 3 mo: MD = 1.96 kg (E) [−0.47, 4.38]; P = 0.11; n = 297 |
All time points: MD = 3.03 kg (E) [0.08, 6]; P = 0.04; n = 1,196 Long term (>6 mo): MD = 0.90 kg (E) [−1.47, 3.27]; P = 0.46; n = 571 |
Not analyzed |
At 3 mo: MD = 1.99 kg (O) [−0.43, 4.42]; P = 0.11; n = 297 |
Key pinch strength |
At 3 mo: MD = 0.83 kg (E) [0.31, 1.35]; P = 0.002; n = 297 |
All time points: MD = 0.77 kg (E) [0.33, 1]; P = 0.001; n = 290 Long term (>6 mo): MD = 0.37 kg (E) [−0.09, 0.84]; P = 0.12; n = 614 |
Not analyzed |
At 3 mo: MD = 0.79 kg (E) [0.27, 1.32]; P = 0.003; n = 297 |
Sensation |
Paresthesia relief by Semmes-Weinstein at < 3 mo: RR = 0.94 (U) [0.85, 1.04]; P = 0.21; n = 552 Paresthesia relief by Semmes-Weinstein at > 3 mo: RR = 1.07 (U) [0.98, 1.17]; P = 0.12; n = 296 |
Semmes-Weinstein: MD = −0.02 (O) [−0.16, 0.12]; P = 0.76; n = 589 Static two-point discrimination: MD = 0.04 mm (E) [−0.35, 0.43]; P = 0.84; n = 579 Static two-point sensory threshold: MD = 0.13 mm (E) [−0.67, 0.94]; P = 0.75; n = 143 |
Not analyzed |
Semmes-Weinstein at 3 mo: MD = 0.06 (O) [−0.09, 0.21]; P = 0.43; n = 297 Two-point discrimination at 1 yr: MD = −0.16 mm (E) [−0.45, 0.12]; P = 0.26; n = 402 |
Return to work |
MD = −8.21 d (E) [−9.79, −6.63]; P < 0.001; n = 362 |
MD = −8.73 d (E) [−12.82, −4.65]; P < 0.001; n = 1,234 |
MD = −9.56 d (E) [−12.51, −.60]; P < 0.05; n = 1,115 |
MD = −7.25 d (E) [−14.31, −0.19]; P = 0.04; n = 357 |
Complications |
Permanent nerve injury: RR = 0.31 (E) [0.05, 1.91]; P = 0.21; n = 302 Transient neurapraxia: RR = 2.90 (O) [1.14, 7.36]; P = 0.02; n = 746 Wound/scar complications: RR = 0.34 (E) [0.12, 0.96]; P = 0.04; n = 733 CRPS: RR = 0.35 (E) [0.10, 1.24]; P = 0.10; n = 396 Revision surgery: RR = 1.18 (O) [0.53, 2.63]; P = 0.68; n = 1,031 |
Nerve injury (all): RR = 2.84 (O) [1.08, 7.46]; P = 0.03; n = 1,573 Scar tenderness: RR = 0.53 (E) [0.35, 0.82]; P = 0.005; n = 581) Pillar pain: RR = 0.93 (E) [0.45, 2]; P = 0.85; n = 449 Revision surgery: RR = 1.77 (O) [0.64, 5]; P = 0.27; n = 957 |
All complications: OR = 0.82 (E) [0.52, 1.51]; P > 0.05; n = 2,442 Major complications: OR = 1.00 (NA) [0.44, 2.27; P > 0.05; n = 2,565 Minor complications: OR = 0.50 (E) [0.31, 0.82]; P < 0.05; n = 2,442 Transient neurapraxia: OR = 2.42 (O) [1.22, 4.80]; P < 0.05; n = 2,182 Wound/scar complications OR = 0.24 (E) [0.15, 0.40]; P < 0.05; n = 1,943 Revision surgery: OR = 1.36 (O) [0.61, 3.00]; P > 0.05; n = 1,596 |
All complications: OR = 1.06 (O) [0.69, 1.64]; P = 0.78; n = 2,320 Permanent nerve injury: OR = 1.93 (O) [0.58, 6.40]; P = 0.28; n = 2,320 Transient neurapraxia: OR = 4.87 (O) [1.37, 17.25]; P = 0.01; n = 2,320 Wound/scar complications: OR = 0.20 (E) [0.07, 0.59]; P = 0.004; n = 2,320 |
Surgical time |
Not analyzed |
MD = −5 min (E) [−9, 0]; P = 0.03; n = 695 |
Not analyzed |
MD = −5.81 min (E) [−17.85, 6.23]; P = 0.34; n = 261 |
Satisfaction rate |
Not analyzed |
Omitted due to lack of validated measure |
Not analyzed |
Scale from 0 to 100: MD = 3.13 (E) [1.43, 4.82]; P < 0.001; n = 303 |