Comparison of open and endoscopic carpal tunnel surgery regarding clinical outcomes, complication and return to daily life: A prospective comparative study

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. This study conducted in Istanbul Training and Research Hos...

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Veröffentlicht in:Pakistan journal of medical sciences 2019-12, Vol.35 (6), p.1532-1537
Hauptverfasser: Gurpinar, Tahsin, Polat, Baris, Polat, Ayse Esin, Carkci, Engin, Kalyenci, Ahmet Sinan, Ozturkmen, Yusuf
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container_end_page 1537
container_issue 6
container_start_page 1532
container_title Pakistan journal of medical sciences
container_volume 35
creator Gurpinar, Tahsin
Polat, Baris
Polat, Ayse Esin
Carkci, Engin
Kalyenci, Ahmet Sinan
Ozturkmen, Yusuf
description 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. 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. 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). 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.
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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. The age, sex distribution, distribution of sides, and complaint period were not significant (p &gt; 0.05) between the groups. The preoperative or postoperative CTS-SSS and CTS-FSS values did not differ significantly (p &gt; 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 &lt; 0.05). ECTR has similar results in terms of symptom relief, severity, functional status, pillar pain and complication rates compared to OCTR. 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ECTR has similar results in terms of symptom relief, severity, functional status, pillar pain and complication rates compared to OCTR. 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subjects Anopheles
Antibiotics
Carpal tunnel syndrome
Comparative analysis
Comparative literature
Disabilities
Endoscopy
Medical examination
Medical records
Nerve compression syndromes
Neurophysiology
Original
Pain
Patient satisfaction
Questionnaires
Sleep
Sleep disorders
Surgery
title Comparison of open and endoscopic carpal tunnel surgery regarding clinical outcomes, complication and return to daily life: A prospective comparative study
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