Endoscopic versus Open In Situ Cubital Tunnel Release: A Systematic Review of the Literature and Meta-Analysis of 655 Patients

Plastic and Reconstructive Surgery
Patrick J BuchananHarvey Chim

Abstract

Cubital tunnel syndrome is the second most common peripheral entrapment syndrome. To date, there is no true consensus on the ideal surgical management. A minimally invasive, endoscopic approach has gained popularity but has not been adequately compared to the more traditional, open approach. With compliance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a systematic review was performed to identify studies published between 1990 and 2016 that compared the efficacy of endoscopic cubital tunnel release to open cubital tunnel release. A meta-analysis was then performed through a random-effects model with inverse variance weighting to calculate I values for heterogeneity analysis. Forest plots were constructed for each analysis group. Five studies involving 655 patients (endoscopic cubital tunnel release, n = 226; open cubital tunnel release, n = 429) were included. Meta-analysis revealed no significant superiority of open release in achieving an "excellent" or "good" Bishop score (OR, 1.27; 95 percent CI, 0.59 to 2.75; p = 0.54) and reduction in visual analogue scale score (mean difference, -0.41; 95 percent CI, -1.49 to 0.67; p = 0.46). However, in the endoscopic release cohort, lower rates of...Continue Reading

References

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Citations

Jul 13, 2019·Hand : Official Journal of the American Association for Hand Surgery·Stefano LucchinaMarco Guidi
Mar 14, 2020·The Journal of Craniofacial Surgery·Yasser Helmy Ali, Talal Alandejani
Jan 29, 2019·Plastic and Reconstructive Surgery·Nikolas H KazmersAndrew R Tyser
Jan 8, 2021·Journal of Orthopaedic Surgery·Margaret Woon Man FokGregory I Bain
Jun 1, 2021·Frontiers in Neurology·Kamal MezianOndřej Naňka
Dec 1, 2021·Plastic and Reconstructive Surgery·Lisa GfrererWilliam Gerald Austen

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