Effectiveness of mini-open carpal tunnel release: An outcome study
Archives of Plastic Surgery
;
: 350-358, 2019.
Article
in English
| WPRIM
| ID: wpr-762843
ABSTRACT
BACKGROUND:
Carpal tunnel syndrome (CTS) is the most common peripheral entrapment neuropathy with a high morbidity and healthcare-related costs. Currently there is no consensus about the best treatment option. The purpose of this prospective cohort study conducted at a single institution was to evaluate the clinical outcomes and patient satisfaction following a mini-open carpal tunnel release for idiopathic CTS.METHODS:
A total of 72 patients (53 female and 19 male patients; mean age, 57.8±15.3 years; range, 24–94 years) had a mini-open carpal tunnel release performed by a single senior surgeon between June 2015 and June 2016. The patients were evaluated preoperatively, and at 3 and 12 months post-intervention. At every follow-up, the Boston Carpal Tunnel Syndrome Questionnaire (BCTSQ) and visual analogue scale (VAS) scores for pain and satisfaction were completed. Digital sensibility (using Semmes- Weinstein monofilaments) was assessed and pinch and grip strengths were measured.RESULTS:
Statistically significant and clinically relevant improvement was found in terms of digital sensibility, grip and pinch strength (except for 2-point pinch), BCTSQ scores and pain scores. The complication rate was minimal, and no major complications occurred. Two patients experienced recurrence. The availability of follow-up records (including patient-reported outcomes, BCTSQ and VAS scores, and the complication rate) at 1-year post-intervention varied between 69% and 74% (50–53 patients) depending on which parameter was assessed. Patient satisfaction was high (mean, 80.9±26.0; range, 0–100).CONCLUSIONS:
This study demonstrates that mini-incision carpal tunnel release is clinically effective in the short and long term.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Recurrence
/
Carpal Tunnel Syndrome
/
Prospective Studies
/
Cohort Studies
/
Follow-Up Studies
/
Treatment Outcome
/
Patient Satisfaction
/
Outcome Assessment, Health Care
/
Hand Strength
/
Decompression, Surgical
Type of study:
Etiology study
/
Practice guideline
/
Incidence study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Female
/
Humans
/
Male
Language:
English
Journal:
Archives of Plastic Surgery
Year:
2019
Type:
Article
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