Study to Assess Outcome After Open and Closed Carpal Tunnel Decompression.

Abstract:

:Carpal tunnel decompression (CTD) is the most commonly performed surgical procedure within a hand unit. We have analyzed data on outcomes after carpal decompression performed by both open and closed techniques to assess whether outcomes differed between the 2 procedures. Data were jointly gathered from 2 units. The aim was to assess the outcome after CTD. Completed data were gathered from 621 CTD procedures performed on 484 patients. Of the procedures, 358 were performed via a standard open CTD technique and 263 procedures were performed via a closed single-port Agee technique. Assessments were performed by means of the Levine-Katz questionnaire, Semmes-Weinstein monofilament testing, grip strength, and pinch-grip strength testing. Assessments were performed both preoperatively and 6 months postoperatively. A randomly selected 10% of patients were also assessed at 12 months. The results were statistically better after closed CTD at the 6-month postoperative stage. However, the difference became less marked by 12-month postoperative stage. Our results show that CTD whether performed by an open or closed technique resulted in a similar outcome at the 12-month postoperative stage. However, those procedures performed by a closed technique offered a more rapid recovery in the first 6 months postoperative than by an open technique.

journal_name

Ann Plast Surg

authors

Akhtar S,Bradley MJ,Burke FD,Dubin NH,Wilgis EF

doi

10.1097/SAP.0000000000000267

subject

Has Abstract

pub_date

2015-11-01 00:00:00

pages

548-51

issue

5

eissn

0148-7043

issn

1536-3708

journal_volume

75

pub_type

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