Enhancing Recovery: Investigating Outcome in Supercharged End-to-Side Anterior Interosseous Nerve to Ulnar Nerve Transfer
Abstract
Navigating the complexities of proximal ulnar nerve lesions presents a formidable challenge, prompting an urgent call for standardized outcome measures in the realm of supercharged end-to-side (SETS) anterior interosseous nerve (AIN) to ulnar nerve transfer, compounded by the intricacies of ulnar nerve transposition. This thorough thesis takes a dual-method approach, utilizing a rigorous Delphi study in addition to a scoping review methodology to clarify the complex terrain of SETS procedures.
The scoping review comprehensively delves into the outcomes and associated factors of SETS procedures, unraveling the intricate recovery trajectories while shedding light on the hurdles of standardization. Additionally, it incorporates an expert insight consultation part, providing a unique perspective from seasoned practitioners in the field. Meanwhile, the Delphi study engages expert practitioners in discerning a consensus on essential outcome measures for AIN to ulnar nerve transfers, encompassing SETS and ulnar nerve decompression. Through iterative rounds of questionnaires, the study distills expert insights into a core set of outcome measures, providing a comprehensive framework for post-operative evaluation.
The culmination of these endeavors yields vital conclusions, emphasizing the imperative of bridging the knowledge gap surrounding outcome measures and advocating for the utility of SETS procedures, particularly in addressing severe cubital tunnel syndrome. The significance of this work transcends academic boundaries, extending its reach to guide both research and clinical practices, offering a nuanced understanding of upper extremity nerve transfers and charting a course for future advancements in the field.