Evidence map›Paper›PMID 34083605›Full record

SynthesisScientific reports2021

A systematic review and meta-analysis of studies comparing muscle-in-vein conduits with autologous nerve grafts for nerve reconstruction.

Johannes C Heinzel, Mai Quyen Nguyen, Laura Kefalianakis, Cosima Prahm, Adrien Daigeler, David Hercher, Jonas Kolbenschlag

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 19% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

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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

7 authors at 2 institutions in 2 countries.

Johannes C HeinzelDepartment of Hand-, Plastic, Reconstructive and Burn Surgery, BG Klinik Tuebingen, Eberhard Karls University, Schnarrenbergstraße 95, Tuebingen, Germany. hannes.heinzel@gmx.de.
Mai Quyen NguyenLudwig Boltzmann Institute for Experimental and Clinical Traumatology, Donaueschingenstraße 13, Vienna, Austria.
Laura KefalianakisDepartment of Hand-, Plastic, Reconstructive and Burn Surgery, BG Klinik Tuebingen, Eberhard Karls University, Schnarrenbergstraße 95, Tuebingen, Germany.
Cosima PrahmDepartment of Hand-, Plastic, Reconstructive and Burn Surgery, BG Klinik Tuebingen, Eberhard Karls University, Schnarrenbergstraße 95, Tuebingen, Germany.
Adrien DaigelerDepartment of Hand-, Plastic, Reconstructive and Burn Surgery, BG Klinik Tuebingen, Eberhard Karls University, Schnarrenbergstraße 95, Tuebingen, Germany.
David HercherLudwig Boltzmann Institute for Experimental and Clinical Traumatology, Donaueschingenstraße 13, Vienna, Austria.
Jonas KolbenschlagDepartment of Hand-, Plastic, Reconstructive and Burn Surgery, BG Klinik Tuebingen, Eberhard Karls University, Schnarrenbergstraße 95, Tuebingen, Germany.
BG Klinik Tübingen · DELudwig Boltzmann Institute for Experimental and Clinical Traumatology · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The gold-standard method for reconstruction of segmental nerve defects, the autologous nerve graft, has several drawbacks in terms of tissue availability and donor site morbidity. Therefore, feasible alternatives to autologous nerve grafts are sought. Muscle-in-vein conduits have been proposed as an alternative to autologous nerve grafts almost three decades ago, given the abundance of both tissues throughout the body. Based on the anti-inflammatory effects of veins and the proregenerative environment established by muscle tissue, this approach has been studied in various preclinical and some clinical trials. There is still no comprehensive systematic summary to conclude efficacy and feasibility of muscle-in-vein conduits for reconstruction of segmental nerve defects. Given this lack of a conclusive summary, we performed a meta-analysis to evaluate the potential of muscle-in-vein conduits. This work's main findings are profound discrepancies regarding the results following nerve repair by means of muscle-in-vein conduits in a preclinical or clinical setting. We identified differences in study methodology, inter-species neurobiology and the limited number of clinical studies to be the main reasons for the still inconclusive results. In conclusion, we advise for large animal studies to elucidate the feasibility of muscle-in-vein conduits for repair of segmental defects of critical size in mixed nerves.

Indexed as

AnimalsHumansNerve RegenerationNervous System DiseasesTranslational Research, BiomedicalWounds and Injuries

Identifiers

PMID34083605
PMCPMC8175734
OpenAlexW3164496985

What Socratic holds

Textmetadata
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 Socratic graph.