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 |
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container_title | Pakistan journal of medical sciences |
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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. |
doi_str_mv | 10.12669/pjms.35.6.967 |
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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 > 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.</description><identifier>ISSN: 1682-024X</identifier><identifier>EISSN: 1681-715X</identifier><identifier>DOI: 10.12669/pjms.35.6.967</identifier><identifier>PMID: 31777488</identifier><language>eng</language><publisher>Pakistan: Knowledge Bylanes</publisher><subject>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</subject><ispartof>Pakistan journal of medical sciences, 2019-12, Vol.35 (6), p.1532-1537</ispartof><rights>Copyright: © Pakistan Journal of Medical Sciences.</rights><rights>COPYRIGHT 2019 Knowledge Bylanes</rights><rights>(c)2019 Pakistan Journal of Medical Sciences</rights><rights>Copyright: © Pakistan Journal of Medical Sciences 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c476t-575e7a81e0455f5decf0d098130bcfe878e89b5585e3a2ae65f8187aa6a013e3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6861491/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6861491/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31777488$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gurpinar, Tahsin</creatorcontrib><creatorcontrib>Polat, Baris</creatorcontrib><creatorcontrib>Polat, Ayse Esin</creatorcontrib><creatorcontrib>Carkci, Engin</creatorcontrib><creatorcontrib>Kalyenci, Ahmet Sinan</creatorcontrib><creatorcontrib>Ozturkmen, Yusuf</creatorcontrib><title>Comparison of open and endoscopic carpal tunnel surgery regarding clinical outcomes, complication and return to daily life: A prospective comparative study</title><title>Pakistan journal of medical sciences</title><addtitle>Pak J Med Sci</addtitle><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.</description><subject>Anopheles</subject><subject>Antibiotics</subject><subject>Carpal tunnel syndrome</subject><subject>Comparative analysis</subject><subject>Comparative literature</subject><subject>Disabilities</subject><subject>Endoscopy</subject><subject>Medical examination</subject><subject>Medical records</subject><subject>Nerve compression syndromes</subject><subject>Neurophysiology</subject><subject>Original</subject><subject>Pain</subject><subject>Patient satisfaction</subject><subject>Questionnaires</subject><subject>Sleep</subject><subject>Sleep disorders</subject><subject>Surgery</subject><issn>1682-024X</issn><issn>1681-715X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNptkk1r3DAQhk1paT7aa49FUCg91FvJtmS5h8KypB8Q6CWH3MSsPN7VIkuuJAf2t_TPVrtJ06QEHWYYPfMKzbxF8YbRBauE6D5NuzEuar4Qi060z4pTJiQrW8avnx_zqqRVc31SnMW4o7QRDa9eFic1a9u2kfK0-L3y4wTBRO-IH4if0BFwPUHX-6j9ZDTRECawJM3OoSVxDhsMexJwA6E3bkO0Nc7oTPg5aT9i_EhymGyuJeNv5QKmOTiSPOnB2D2xZsDPZEmm4OOEOpkbPDZBgGMe09zvXxUvBrARX9_F8-Lq68XV6nt5-fPbj9XystRNK1LJW44tSIa04XzgPeqB9rSTrKZrPaBsJcpuzbnkWEMFKPggmWwBBFBWY31efLmVneb1iL1GlwJYNQUzQtgrD0Y9vnFmqzb-RgkpWNOxLPDhTiD4XzPGpEYTNVoLDv0cVVWzrukaJqqMvvsP3fk8mPy7THEpqRCU_6M2YFEZN_j8rj6IqqWgspYd62SmFk9Q-fQ4Gu0dDibXHzW8f9CwRbBpG72dD1uKTyrrvJ4YcLgfBqPqaDt1sJ2quRIq2y43vH04wnv8r8_qPz0A1uM</recordid><startdate>20191231</startdate><enddate>20191231</enddate><creator>Gurpinar, Tahsin</creator><creator>Polat, Baris</creator><creator>Polat, Ayse Esin</creator><creator>Carkci, Engin</creator><creator>Kalyenci, Ahmet Sinan</creator><creator>Ozturkmen, Yusuf</creator><general>Knowledge Bylanes</general><general>AsiaNet Pakistan (Pvt) Ltd</general><general>Professional Medical Publications</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20191231</creationdate><title>Comparison of open and endoscopic carpal tunnel surgery regarding clinical outcomes, complication and return to daily life: A prospective comparative study</title><author>Gurpinar, Tahsin ; Polat, Baris ; Polat, Ayse Esin ; Carkci, Engin ; Kalyenci, Ahmet Sinan ; Ozturkmen, Yusuf</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c476t-575e7a81e0455f5decf0d098130bcfe878e89b5585e3a2ae65f8187aa6a013e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Anopheles</topic><topic>Antibiotics</topic><topic>Carpal tunnel syndrome</topic><topic>Comparative analysis</topic><topic>Comparative literature</topic><topic>Disabilities</topic><topic>Endoscopy</topic><topic>Medical examination</topic><topic>Medical records</topic><topic>Nerve compression syndromes</topic><topic>Neurophysiology</topic><topic>Original</topic><topic>Pain</topic><topic>Patient satisfaction</topic><topic>Questionnaires</topic><topic>Sleep</topic><topic>Sleep disorders</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gurpinar, Tahsin</creatorcontrib><creatorcontrib>Polat, Baris</creatorcontrib><creatorcontrib>Polat, Ayse Esin</creatorcontrib><creatorcontrib>Carkci, Engin</creatorcontrib><creatorcontrib>Kalyenci, Ahmet Sinan</creatorcontrib><creatorcontrib>Ozturkmen, Yusuf</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Pakistan journal of medical sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gurpinar, Tahsin</au><au>Polat, Baris</au><au>Polat, Ayse Esin</au><au>Carkci, Engin</au><au>Kalyenci, Ahmet Sinan</au><au>Ozturkmen, Yusuf</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of open and endoscopic carpal tunnel surgery regarding clinical outcomes, complication and return to daily life: A prospective comparative study</atitle><jtitle>Pakistan journal of medical sciences</jtitle><addtitle>Pak J Med Sci</addtitle><date>2019-12-31</date><risdate>2019</risdate><volume>35</volume><issue>6</issue><spage>1532</spage><epage>1537</epage><pages>1532-1537</pages><issn>1682-024X</issn><eissn>1681-715X</eissn><abstract>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.</abstract><cop>Pakistan</cop><pub>Knowledge Bylanes</pub><pmid>31777488</pmid><doi>10.12669/pjms.35.6.967</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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source | DOAJ Directory of Open Access Journals; PubMed Central; Alma/SFX Local Collection; PubMed Central Open Access |
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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