Evidence map›Paper›PMID 35123521›Full record

ArticleJournal of orthopaedic surgery and research2022

Effectiveness and safety of surgical treatment of carpal tunnel syndrome via a mini-transverse incision and a bush hook versus a mid-palmar small longitudinal incision.

Dongyue Wang, Tianxiao Ma, Yuqing Hu, Xiaocui Zhao, Lihua Song

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of orthopaedic surgery and research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Dongyue WangDepartment of Orthopaedic Surgery, The General Hospital of Jizhong Energy Xingtai Mining Group, No. 202 Bayi Street, Xingtai, Hebei, People's Republic of China.
Tianxiao MaDepartment of Orthopaedic Surgery, The General Hospital of Jizhong Energy Xingtai Mining Group, No. 202 Bayi Street, Xingtai, Hebei, People's Republic of China.
Yuqing HuDepartment of Orthopaedic Surgery, The General Hospital of Jizhong Energy Xingtai Mining Group, No. 202 Bayi Street, Xingtai, Hebei, People's Republic of China.
Xiaocui ZhaoDepartment of Orthopaedic Surgery, The General Hospital of Jizhong Energy Xingtai Mining Group, No. 202 Bayi Street, Xingtai, Hebei, People's Republic of China.
Lihua SongDepartment of Orthopaedic Surgery, The General Hospital of Jizhong Energy Xingtai Mining Group, No. 202 Bayi Street, Xingtai, Hebei, People's Republic of China. slh9536@126.com.
Hebei Medical University · CNXingtai People's Hospital · CN

Funding

Xingtai City Science and Technology Plan 2020ZC340
6 · The paper itself

Abstract

backgroundMinimally invasive surgery for carpal tunnel syndrome has been consistently the mainstay of treatment. In this study, we developed a novel bush hook via a mini-transverse incision at proximal wrist crease to surgically treat carpal tunnel syndrome and our aim was to compare the results with those of mid-palmar small longitudinal incision in carpal tunnel release.

methodsThis is a retrospective study on patients who received a mini-transverse incision and a novel bush hook or a mid-palmar small longitudinal incision for treatment of carpal tunnel syndrome. The decision to receive either technique was made mainly based on patients' choice. The clinical results were evaluated at 1 week, 1 month, 3 and 6 months postoperatively and compared.

resultsIn total, 58 patients in mini-transverse incision group and 74 in mid-palmar longitudinal incision group were include. The follow-up period was 6.8 ± 1.6 months. The mini-transverse incision group had a significantly smaller incision (4.3 ± 0.4 mm vs. 26.2 ± 1.6 mm), shorter surgical time (7.8 ± 2.6 min vs. 19.7 ± 2.8 min), but not for hospital stay (3.2 ± 1.9 vs. 3.6 ± 2.2 days). Both groups showed significant improvement from baseline level at any time points postoperatively (all P < 0.001). At 1 month and 3 months, the mini-transverse incision group showed a significantly better improvement of VAS, SSS and FSS score (P < 0.05). At 6 months, the differences were no longer significant (P > 0.05). In addition, the mini-transverse incision group showed a significantly reduced time to return to the work and activities, tendency to higher rate of excellence and good outcomes and fewer complications.

conclusionsThis novel technique via a mini-transverse incision and bush hook showed better clinical effectiveness and safety, and can be considered as an alternative for wrist tunnel release after the results are validated by higher-level evidence studies. Evidence level: III.

Indexed as

Surgical WoundAdultCarpal Tunnel SyndromeDecompression, SurgicalFemaleHumansMaleMiddle AgedMinimally Invasive Surgical ProceduresRecovery of FunctionRetrospective StudiesTreatment OutcomeWrist JointBush hookCarpal tunnel syndromeEffectiveness and safetyMini-transverse incisionProximal wrist creaseSmall longitudinal incision

Identifiers

PMID35123521
PMCPMC8818165
OpenAlexW4210359557

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.