Systematic Review of Tendon Transfer Versus Nerve Transfer for the Restoration of Wrist Extension in Isolated Traumatic Radial Nerve Palsy

Jocelyn Compton; Jessell Owens; Molly Day; Lindsey Caldwell

doi:10.5435/JAAOSGlobal-D-18-00001

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Systematic Review of Tendon Transfer Versus Nerve Transfer for the Restoration of Wrist Extension in Isolated Traumatic Radial Nerve Palsy

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Systematic Review of Tendon Transfer Versus Nerve Transfer for the Restoration of Wrist Extension in Isolated Traumatic Radial Nerve Palsy

Jocelyn Compton, Jessell Owens, Molly Day and Lindsey Caldwell

Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews, Vol.2(4), pp.e001-e001

04/2018

DOI: 10.5435/JAAOSGlobal-D-18-00001

PMCID: PMC6132323

PMID: 30211383

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Abstract

To compare the outcomes of tendon transfer and nerve transfer for radial nerve palsy. We performed a systematic review of the literature in EMBASE, PubMed, and Cochrane Database to include studies that address persistent traumatic radial nerve palsy treated with tendon transfer or nerve transfer surgery. We identified 2,044 citations; 1,512 texts were excluded because of content, and 96 texts were screened for eligibility. Texts were excluded if they did not report the motor score (M0 to M5 as determined by the British Medical Research Council) or measurements of range of motion of the wrist. Sixteen texts were eligible for qualitative synthesis. Outcomes of these studies show heterogeneity with regard to the technique and functional restoration. On the basis of the results of this systematic review, there does not seem to be a clearly superior technique; rather, there are advantages and disadvantages to each. Patient selection and surgeon experience are important when considering surgical interventions in this challenging clinical scenario. Nerve transfer surgery is an emerging technique that may offer patients meaningful functional gains with reduced donor site morbidity. Level III.

Details

Title: Subtitle: Systematic Review of Tendon Transfer Versus Nerve Transfer for the Restoration of Wrist Extension in Isolated Traumatic Radial Nerve Palsy
Creators: Jocelyn Compton - Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IA
Jessell Owens - Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IA
Molly Day - Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IA
Lindsey Caldwell - Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IA
Resource Type: Journal article
Publication Details: Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews, Vol.2(4), pp.e001-e001
DOI: 10.5435/JAAOSGlobal-D-18-00001
PMID: 30211383
PMCID: PMC6132323
NLM abbreviation: J Am Acad Orthop Surg Glob Res Rev
ISSN: 2474-7661
eISSN: 2474-7661
Publisher: United States
Language: English
Date published: 04/2018
Academic Unit: Orthopedics and Rehabilitation
Record Identifier: 9984040263002771

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