Official Journal of the Italian Society of Orthopaedics and Traumatology
Table 1 Summary of articles included in this systematic review
Main author and year | Country | Study design | Follow-up (days) | Surgical procedures | Demographic characteristics | Number of participants | |
|---|---|---|---|---|---|---|---|
1 | Aydin N (2010) [14] | Turkey | Single-center clinical, randomized, double-blind, placebo-controlled trial | 180 | Patients underwent surgeries for contracture, soft tissue laceration, carpal tunnel release and fasciotomy, fasciectomy for palmar fibromatosis, tumor excision, tendon injury, nerve injury and/or vessel injury, and tendon transfer | Mean age 30.92 ± 2.4 years Sex (M/F) 74.4%/25.6% This study excluded patients with immunosuppression and other comorbidities, such as diabetes and smoking | 1340 Total number of participants who meet the eligibility criteria for this systematic review: 426 |
2 | Bykowski MR (2011) [16] | USA | Single-center retrospective observational study | 79 | Patients underwent surgeries for carpal tunnel release (n = 3783), trigger finger release (n = 1992), first extensor compartment release (n = 1046), wrist cyst excision (n = 625), excision of subfascial tumor in the hand (n = 421), release of the ulnar nerve at the wrist (n = 392), ulnar nerve transposition at the elbow (n = 358), excision of subcutaneous tumor of the hand (n = 201), excision of subcutaneous tumor of the forearm and wrist (n = 32) Mean surgery time: 27 ± 21 min | 8,850 | |
3 | Bäcker HC (2021) [15] | USA | Multicenter, prospective nonrandomized clinical study | 42 | Patients underwent open carpal tunnel release (n = 143), revision of carpal tunnel release (n = 2), endoscopic carpal tunnel release (n = 54), trigger finger release (n = 134), first extensor compartment release (n = 26), fasciectomy for palmar fibromatosis (n = 16), cubital tunnel release (n = 1), tenosynovectomy of flexor tendons (n = 3), excision of tumors (n = 102), foreign body excision (n = 1), nail biopsy (n = 1), implant removal (n = 1) | Mean age 61 years Sex (M/F) 38.5%/61.5% | 434 |
4 | Harness NG (2010) [4] | USA | Multicenter, retrospective observational study | 30 | Surgeries performed: open and endoscopic carpal tunnel release and carpal tunnel release revision | 2336 | |
5 | Hoel RJ (2018) [17] | USA | Single-center, retrospective observational study | 30 | Surgeries performed were wrist arthroscopy; 116 patients (36%) underwent concomitant open procedures, 6 also involved the use of skin closure material and belonged to the group that received preoperative antibiotics; therefore, they were excluded from data analysis and from this systematic review | Diabetes mellitus 3% Smoking 13% | 324 Total number of participants who meet the eligibility criteria for this systematic review: 318 |
6 | Johnson SP (2018) [7] | USA | Multicenter, retrospective observational study assessing databases of medical claims | 30 | Surgeries analyzed: open carpal tunnel release (n = 209,275), endoscopic carpal tunnel release (n = 48,282), trigger finger release (n = 4490), first extensor compartment release (n = 20,598), removal of tumor at the wrist (n = 23,301) | Sex (M/F) 35%/65% Diabetes mellitus 25.2% Charlson comorbidity index 0–52.4%/1% to 3–8.3% 4% to 8–22%/ > 8%–17,3% | 305,946 Total number of participants who meet the eligibility criteria for this systematic review: 285,642 |
7 | Li K (2018) [18] | USA | Multicenter, retrospective observational study assessing databases of medical claims | 30 | Patients underwent surgeries of carpal tunnel release (n = 250,613), trigger finger release (n = 119,390), first extensor compartment release (n = 25,972), removal of tumor at the wrist (n = 121,011) | Sex (M/F) 64%/36% | 516,986 |
8 | Mehta S (2022) [19] | USA | Single-center, retrospective observational study | 30 | Patients underwent surgeries of carpal tunnel release | Mean age 59 ± 14 years Sex (M/F) 35.2%/64.8% IMC 34 ± 9.4 kg/m2 Diabetes mellitus 26.6% Smoking 12.7% HbA1c > 7 10% ESRD 1.7% | 770 |
9 | Tosti R (2012) [20] | USA | Multicenter, retrospective observational study | 30 | Patients underwent surgeries of carpal tunnel release (n = 300), trigger finger release (n = 175), first extensor compartment release (n = 44), removal of tumor at the wrist (n = 81) | Diabetes mellitus 23.8% Smoking 20.8% | 600 |
10 | Vasconcelos C (2017) [21] | Portugal | Single-center, retrospective observational study | 30 | Patients underwent surgeries of carpal tunnel release (n = 211), trigger finger release (n = 68), first extensor compartment release (n = 61), removal of tumor at the wrist (n = 6) Mean surgery time: 19.6 min, with all eligible participants undergoing procedures with surgery time of less than 30 min | Mean age 58.4 years Sex (M/F) 14.4%/85.6% Comorbidities 70.8% Diabetes mellitus 14.4% | 346 |
11 | Wachtel N (2023) [22] | Germany | Multicenter, ambispective observational study | 30 | Patients underwent wrist soft tissue arthroscopy. Most arthroscopy procedures performed involved pathology of the triangular fibrocartilage complex (30.9%), the other procedures included arthroscopic resection of cysts (23.6%), purely diagnostic arthroscopy with or without synovectomy (18.5%), combined procedures (19.1%), procedures involving pathologies of the intrinsic ligaments of the wrist (5.1%), among others, such as loose body removal (2.8%) Mean surgery time: 40.4 ± 18.1 min | Mean age 38.1 years Sex (M/F) 42.7%/57.3% Comorbidities 61.2% Diabetes mellitus 1.7% Smoking 24.7% Alcohol consumption 18% IT 5.6% Prior SSI 2.2% | 178; of these, 56.2% were recruited retrospectively and 43.8% were recruited prospectively |
12 | Zheng A (2022) [23] | USA | Single-center, retrospective observational study | 30 | Patients underwent surgeries of cubital tunnel release | Mean age 54.6 (12–87) years Sex (M/F) 52.7%/47.3% | 919 |