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KMID : 1038220190460040350
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Archives of Plastic Surgery
2019 Volume.46 No. 4 p.350 ~ p.358
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Effectiveness of mini-open carpal tunnel release: An outcome study
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van den Broeke Lieselotte R.
Theuvenet Willem. J.
van Wingerden Jan. J.
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Abstract
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Background: Carpal tunnel syndrome (CTS) is the most common peripheral entrapment neuropathy with a high morbidity and healthcare-related costs. Currently there is no consensus about the best treatment option. The purpose of this prospective cohort study conducted at a single institution was to evaluate the clinical outcomes and patient satisfaction following a mini-open carpal tunnel release for idiopathic CTS.
Methods: A total of 72 patients (53 female and 19 male patients; mean age, 57.8±15.3 years; range, 24?94 years) had a mini-open carpal tunnel release performed by a single senior surgeon between June 2015 and June 2016. The patients were evaluated preoperatively, and at 3 and 12 months post-intervention. At every follow-up, the Boston Carpal Tunnel Syndrome Questionnaire (BCTSQ) and visual analogue scale (VAS) scores for pain and satisfaction were completed. Digital sensibility (using Semmes- Weinstein monofilaments) was assessed and pinch and grip strengths were measured.
Results: Statistically significant and clinically relevant improvement was found in terms of digital sensibility, grip and pinch strength (except for 2-point pinch), BCTSQ scores and pain scores. The complication rate was minimal, and no major complications occurred. Two patients experienced recurrence. The availability of follow-up records (including patient-reported outcomes, BCTSQ and VAS scores, and the complication rate) at 1-year post-intervention varied between 69% and 74% (50?53 patients) depending on which parameter was assessed. Patient satisfaction was high (mean, 80.9±26.0; range, 0?100).
Conclusions: This study demonstrates that mini-incision carpal tunnel release is clinically effective in the short and long term.
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KEYWORD
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Carpal tunnel syndrome, Patient reported outcome measures, Treatment outcome, Decompression, surgical
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