Back to Search
Start Over
Retrospective analysis of 242 patients whose carpal tunnels were released using a one-port endoscopic procedure: Superior results of early intervention
- Source :
- Journal of Plastic Surgery and Hand Surgery. 44:311-317
- Publication Year :
- 2010
- Publisher :
- Informa UK Limited, 2010.
-
Abstract
- Various approaches to endoscopic carpal tunnel release have been described, including the advantages of the open compared with the endoscopic technique. However recent results suggest that both are equal in terms of outcome and morbidity. The misconception about the potential morbidity and the hope of successful conservative treatment can sometimes delay operative release of the carpal tunnel. The aim of this study was to evaluate whether the preoperative duration of symptoms influences outcome and recovery. Patients who had endoscopic release of the carpal tunnel using a modified one-port method were included in this retrospective study. Patients' satisfaction and general outcome were analysed with a questionnaire. A total of 242 patients were included in the study, and the data of 170 endoscopic decompression operations were analysed (70%). There were no major operative complications, except the conversion to open release in one case. There was a significant association between the preoperative interval of symptoms and the return to everyday activities and normal function (p0.001). Patients with longer-lasting symptoms also had reduced recovery of postoperative strength, which was negatively associated with the duration of preoperative symptoms (p0.001). Operative decompression by the endoscopic one-port method is a low risk procedure with a low morbidity. The decision for operative decompression should be made as early as possible to avoid complications seen in patients with long-lasting symptoms and permanent nerve damage.
- Subjects :
- Adult
Male
medicine.medical_specialty
Time Factors
Severity of Illness Index
Cohort Studies
Port (medical)
Surveys and Questionnaires
Intervention (counseling)
Preoperative Care
medicine
Retrospective analysis
Humans
Minimally Invasive Surgical Procedures
Carpal tunnel
Carpal tunnel syndrome
Aged
Pain Measurement
Retrospective Studies
Endoscopes
Postoperative Care
Chi-Square Distribution
business.industry
Endoscopy
Retrospective cohort study
Recovery of Function
Middle Aged
Decompression, Surgical
medicine.disease
Carpal Tunnel Syndrome
Endoscopic Procedure
Endoscopic carpal tunnel release
Surgery
Treatment Outcome
medicine.anatomical_structure
Patient Satisfaction
Multivariate Analysis
Female
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 20006764 and 2000656X
- Volume :
- 44
- Database :
- OpenAIRE
- Journal :
- Journal of Plastic Surgery and Hand Surgery
- Accession number :
- edsair.doi.dedup.....3c1040752f6d4e22e39c85d167d00b9d