Manifestations of the long-term outcomes of open and endoscopic surgical interventions of CTS

Abstract

Objective: The objective of this study was to compare the outcomes of open and endoscopic surgical interventions for CTS and determine the superiority of one technique over the other.
 Methodology: This is a descriptive cross-sectional study that analyzed data from 132 patients with Carpal Tunnel Syndrome who underwent open surgery or endoscopic surgery at a military hospital in Pakistan from July 2022 to January 2023. The study was approved by the University of Lahore's institutional review board and patients gave informed consent. Participants were between the ages of 25-60 and had a clinical and electrical diagnosis of CTS. Data was collected using a Performa and analyzed with SPSS V23.
 Results: The common age group for CTS surgery was 41-50 years and the frequency of CTS was higher in females (74.2%) than in males (25.8%). Endoscopic surgery was more common (53%) than open surgery (47%). Results on follow-up patients showed that complications were higher after open surgery compared to endoscopic surgery.
 Conclusion: The study concluded that endoscopic release procedure is superior to open procedure as it showed comparable results in alleviating symptoms, reducing severity, improving function, reducing pain and similar complications. Endoscopic procedure has benefits such as quicker return to daily activities, earlier return to work and smaller incision.