O'Grady Eva E, Vanat Qureish, Power Dominic M, Tan Simon
Hand and Peripheral Nerve Surgery Service, Queen Elizabeth Hospital, Birmingham, UK.
J Hand Surg Eur Vol. 2017 Nov;42(9):941-945. doi: 10.1177/1753193417724351. Epub 2017 Aug 31.
The aim of this study was to review the literature of decompression of the cubital tunnel with medial epicondylectomy and to assess outcomes and complications. Twenty-one case series reported on 886 medial epicondylectomies. The mean percentage of patients obtaining improvement of one or more McGowan grade was 79%. The mean percentage obtaining a good/excellent Wilson Krout grade of outcome was 83%. Of six comparative studies, two showed no significant differences in outcomes between medial epicondylectomy and transposition procedures, and three reported better outcomes with medial epicondylectomy. One reported similar outcomes with medial epicondylectomy and simple decompression. The existing literature on medial epicondylectomy is of limited methodological quality and does not allow for firm conclusions to be drawn regarding its efficacy compared with other surgical techniques. Further studies should aim for high methodological quality, randomized comparison with simple decompression or anterior transposition and should utilize standardized outcome measures.
II.
本研究的目的是回顾关于内侧上髁切除术治疗肘管减压的文献，并评估其疗效和并发症。21个病例系列报道了886例内侧上髁切除术。获得一个或多个McGowan分级改善的患者平均百分比为79%。获得良好/优秀Wilson Krout结局分级的平均百分比为83%。在六项比较研究中，两项显示内侧上髁切除术与转位手术在疗效上无显著差异，三项报道内侧上髁切除术疗效更佳。一项报道内侧上髁切除术与单纯减压疗效相似。现有的关于内侧上髁切除术的文献方法学质量有限，与其他手术技术相比，无法就其疗效得出确凿结论。进一步的研究应旨在提高方法学质量，与单纯减压或前转位进行随机比较，并应采用标准化的结局指标。
II级。
