Abstract
Objective:This study aimed to compare the clinical results and complications as well as patient satisfaction in patients with carpal tunnel syndrome operated with open carpal tunnel release (OCTR) or endoscopic carpal tunnel release (ECTR) techniques.Methods:This study conducted in Istanbul Training and Research Hospital between August 2016 and January 2018. A total of 54 patients were operated with the ECTR technique and 50 patients were operated with the OCTR technique after failing nonsurgical treatment. Patients functional scores are assessed with the carpal tunnel syndrome-functional status score (CTS-FSS) and carpal tunnel syndrome-symptom severity score (CTS-SSS). Operation time, incision length and complications of the two techniques were noted and compared.Results:The age, sex distribution, distribution of sides, and complaint period were not significant (p > 0.05) between the groups. The preoperative or postoperative CTS-SSS and CTS-FSS values did not differ significantly (p > 0.05). Incision length, time to return to work and return to daily life in the OCTR group was significantly higher than the ECTR group (p < 0.05).Conclusion:ECTR has similar results in terms of symptom relief, severity, functional status, pillar pain and complication rates compared to OCTR. However, it has the advantages of early return to daily life, early return to work and less incision length.
Highlights
Carpal tunnel syndrome (CTS) is the most common compression neuropathy caused by increased pressure in the carpal tunnel.[1]
A total of 54 patients were operated with the Endoscopic carpal tunnel release (ECTR) technique and 50 patients were operated with the open carpal tunnel release (OCTR) technique
In the OCTR group, the 3rd month, 6th month, and last follow-up pillar pain rates were slightly higher than the ECTR group, but there was no significant difference between the two groups (p > 0.05)
Summary
Carpal tunnel syndrome (CTS) is the most common compression neuropathy caused by increased pressure in the carpal tunnel.[1]. When non-operative treatments fail, total release of the transverse carpal ligament (TCL) should be considered to cease the pressure. Pak J Med Sci November - December 2019 Vol 35 No 6 www.pjms.org.pk 1532 on the nerve.[6,7] In the conventional open carpal tunnel release (OCTR), the surgeon dissects straight down to the flexor tendon retinaculum through a skin incision extending from the wrist creases to the middle of the palm. The flexor retinaculum is opened and the carpal tunnel is decompressed. Endoscopic carpal tunnel release (ECTR) is mainly performed either through one portal, as described by Agee et al.[8] or by using two portals, as described by Chow et al.[9]
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