|
KMID : 1038220200470060597
|
|
Archives of Plastic Surgery
2020 Volume.47 No. 6 p.597 ~ p.603
|
|
|
Open carpal release using local anesthesia without a tourniquet: Does bleeding tendency affect the outcome?
|
|
Lee Seong-Won
Oh Sang-Ho
Son Dae-Gu
|
|
|
Abstract
|
|
|
Background: The aim of this study was to analyze the clinical results of minimal single palmar-incision carpal tunnel release without a tourniquet.
Methods: We reviewed the medical records of 75 patients (90 cases of carpal tunnel syndrome) who underwent minimal single-palmar incision carpal tunnel release without a tourniquet from June 2010 to January 2018. Ten patients had a bleeding tendency. We compared the preoperative and postoperative Boston Carpal Tunnel Syndrome Questionnaire (BCTQ) scores. We also analyzed outcomes and complications according to the presence of a bleeding tendency.
Results: In all cases, there was a complete disappearance or marked improvement in symptoms within 6 months, with no recurrence. The postoperative BCTQ score showed a significant improvement compared to the preoperative score, and no statistically significant difference in BCTQ scores was detected according to the presence of a bleeding tendency.
Conclusions: Carpal tunnel release without a tourniquet using a minimal single palmar incision is effective and reliable. This technique prevents unnecessary pain associated with the tourniquet and is especially helpful in patients with a bleeding tendency or those treated with hemodialysis.
|
|
|
KEYWORD
|
|
|
Carpal tunnel syndrome, Median nerve, Nerve compression syndrome, Hand, Tourniquet
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|