Table 3.
Outcomes of the studies included in the analysis.
| Reference | Outcome measure | Outcomes |
|---|---|---|
| Range of motion, protective sensation, two-point discrimination and grip strength. | Range of motion of involved digits and wrist was excellent in all pts. Two-point discrimination was 5-8 mm in all median nerve injury pts. 1 of 4 ulnar injuries showed 5-10 mm response. Intrinsic muscle recovery was prolonged in ulnar injury. | |
| (10) | Power MRC, range of movement Sensory – Pinprick, light touch, two-point discrimination and light touch. | Functional results were excellent in 46% of fingers, good in 22%, fair in 17% and poor in 15% in pts with fight-related injuries. The functional results were excellent in 55% |
| of fingers, good in 17%, fair in 18% and poor in 10% of pts with accident-related injuries. | ||
| The finger-to-palm distance was 2 cm in 5 pts, 1 cm in 16 pts and 0 in 12 pts. In 24 cases, full wrist flexion was achieved. In 4 pts, there was a | ||
| loss of 15–20° of flexion. In 16 of the 22 cases with a repaired ulnar nerve, two-point discrimination and touching and pain sensation returned. | ||
| Except for 3 pts who developed cold intolerance, the vascular condition was determined to be normal in all pts. Twenty of 35 repaired arteries reached the same function of the healthy hand, according to the Allen's test. | ||
| (11) | Intrinsic muscle recovery, sensation and range of motion. | Flexor tendon function (Kleinert) |
| ROM was excellent in 12 pts and good in 7 pts | ||
| Sensation – 7 pts for protective sensation and five pts 7-12 mm for S2PD | ||
| (12) | Sensory + motor outcomes. | Tendon outcomes were excellent in 58%; fair in 3% and poor in 39%. Sensory recovery was excellent in 11%; good in 33% and poor in 56%. Motor recovery was excellent in 11%; good in 22% and poor in 67%. |
| (13) | Questionnaire. | Mean grip strength definition 1: 26/100; definition 2: 20.7/100. |
| Mean Functional Symptom Score | Mean pinch strength | |
| Return to work time | Definition 1: 36.9; definition 2: 30.5. | |
| Mean Impact of Event score | Mean Functional Symptom Score – 15.1 after a mean follow-up of 10 years. | |
| Manual Muscle Strength Tests – MRC | 93.5% took sick leave, with a mean of 34.7 weeks. 45.2% did not return to work within 1 year. | |
| Sensation – Bell-Krotoski 1,2 | 1 month post-operatively, mean Impact of Event score – 26.2. | |
| Grip and tip strength3,4 | 10 years after the trauma – 7.3 | |
| (16) | Sensory recovery definition 1: 3.8/10. Definition 2: 3.2/10. | |
| (1) | Tendon function, opposition, intrinsic function, deformity and sensation. | Range of motion of all involved digits was excellent in 34 pts, good in 3 pts and poor in one pt. Opposition was excellent in 31 pts, good in five pts and poor in two pts. Intrinsic muscle recovery was excellent in 29 pts, good in seven pts and fair to poor in two pts. Sensory recovery was excellent in 32 pts, good in five pts and fair in one pt. |
| (14) | Flexion/extension deficits, range of motion, Grip strength, sensation, Allen's test for vessels, DASH questionnaire and | Lister classification – excellent tendon results in 48% and poor in 12%. |
| Ability to return to work. | 18/21 cases <20% decrease in strength compared to contralateral arm. 1/21 >50% decrease in strength. | |
| Mean DASH score 12.57 points (range 2.4–34.8 points). | ||
| 19/21 pts were able to return to former work. 2/21 pts had to change to relatively easier jobs. | ||
| (15) | ROM, Motor function – 85% of tendon function or distance from fingertip to distal palmar crease <1 cm. | 30 pts were followed up. |
| Motion in wrist and fingers was excellent in 14 pts, good in 8 pts and fair in 5 pts, and fixed contracture was observed in 3 cases. Recovery in intrinsic muscle function was good in 9 pts. In 21 pts, recovery of intrinsic muscle function was fair to poor. |