Evaluation of Functional Results of Open and Mini Open Surgery in Carpal Tunnel Syndrome
INTRODUCTION: We evaluated the functional results of open and mini open surgical approaches in carpal tunnel syndrome patients. METHODS: Group 1 was undergone open surgery while Group 2 patients were operated by mini open technique. Clinical results were evaluated with patient satisfaction questionn...
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| Format: | Article |
| Language: | English |
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Kare Publishing
2022-10-01
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| Series: | Boğaziçi Tıp Dergisi |
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| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=bmj&un=BMJ-72692 |
| _version_ | 1797652589921173504 |
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| author | Evrim Şirin Erdem Aktas Barış Yılmaz Nazım Karahan Murat Kaya |
| author_facet | Evrim Şirin Erdem Aktas Barış Yılmaz Nazım Karahan Murat Kaya |
| author_sort | Evrim Şirin |
| collection | DOAJ |
| description | INTRODUCTION: We evaluated the functional results of open and mini open surgical approaches in carpal tunnel syndrome patients. METHODS: Group 1 was undergone open surgery while Group 2 patients were operated by mini open technique. Clinical results were evaluated with patient satisfaction questionnaire, daily activities and grip strength. RESULTS: Twenty-eight patients were male and 63 were female. There were 13 male and 29 female with a total of 42 patients in Group 1, whereas 15 male and 34 female with a total of 49 patients were present in Group 2. Daily activity score was 13.86+-1.00 for open group and 13.61+-0.98 for Group 2. Grip strength was 0.27+-0.07 bar in Group 1 and 0.31+-0.09 bar in Group 2. There was no significant difference between two groups regarding to age, sex, operation site, daily activity scores, and grip strength. Surgical time was 18.05+-1.78 minutes in Group 1 and 13.18+-1.52 min in Group 2. Return to daily activity was 16.17+-2.07 day in Group 1 and 12.53+-1.80 day in Group 2. Surgery time and time to activity return is statistically significantly higher in open surgery group compared to mini-open group. Patient satisfaction score was 87.60+-2.63 in Group 1 and 87.60+-2.63 in Group 2. Patient satisfaction questionnaire result was statistically higher for mini-open group compared to Group 1. DISCUSSION AND CONCLUSION: In tandem with similar functional results, mini-open surgery can be preferred in callous hand, while open surgery is more suitable to patients with serious thenar atrophy along with suspicion of median nerve compression. |
| first_indexed | 2024-03-11T16:31:10Z |
| format | Article |
| id | doaj.art-5cd155223ef741f2986d78c91353573e |
| institution | Directory Open Access Journal |
| issn | 2149-0287 |
| language | English |
| last_indexed | 2024-03-11T16:31:10Z |
| publishDate | 2022-10-01 |
| publisher | Kare Publishing |
| record_format | Article |
| series | Boğaziçi Tıp Dergisi |
| spelling | doaj.art-5cd155223ef741f2986d78c91353573e2023-10-24T02:43:20ZengKare PublishingBoğaziçi Tıp Dergisi2149-02872022-10-019316116510.14744/bmj.2022.72692BMJ-72692Evaluation of Functional Results of Open and Mini Open Surgery in Carpal Tunnel SyndromeEvrim Şirin0Erdem Aktas1Barış Yılmaz2Nazım Karahan3Murat Kaya4Department of Orthopaedics and Traumatology, Marmara University Faculty of Medicine İstanbul, TürkiyeDepartment of Orthopaedics and Traumatology, TOBB University Hospital, Ankara, TürkiyeDepartment of Orthopaedics and Traumatology, Fatih Sultan Mehmet Training and Research Hospital, İstanbul, TürkiyeDepartment of Orthopaedics and Traumatology, Çorlu State Hospital, Çorlu, TürkiyeDepartment of Orthopaedics and Traumatology, Marmara University Faculty of Medicine İstanbul, TürkiyeINTRODUCTION: We evaluated the functional results of open and mini open surgical approaches in carpal tunnel syndrome patients. METHODS: Group 1 was undergone open surgery while Group 2 patients were operated by mini open technique. Clinical results were evaluated with patient satisfaction questionnaire, daily activities and grip strength. RESULTS: Twenty-eight patients were male and 63 were female. There were 13 male and 29 female with a total of 42 patients in Group 1, whereas 15 male and 34 female with a total of 49 patients were present in Group 2. Daily activity score was 13.86+-1.00 for open group and 13.61+-0.98 for Group 2. Grip strength was 0.27+-0.07 bar in Group 1 and 0.31+-0.09 bar in Group 2. There was no significant difference between two groups regarding to age, sex, operation site, daily activity scores, and grip strength. Surgical time was 18.05+-1.78 minutes in Group 1 and 13.18+-1.52 min in Group 2. Return to daily activity was 16.17+-2.07 day in Group 1 and 12.53+-1.80 day in Group 2. Surgery time and time to activity return is statistically significantly higher in open surgery group compared to mini-open group. Patient satisfaction score was 87.60+-2.63 in Group 1 and 87.60+-2.63 in Group 2. Patient satisfaction questionnaire result was statistically higher for mini-open group compared to Group 1. DISCUSSION AND CONCLUSION: In tandem with similar functional results, mini-open surgery can be preferred in callous hand, while open surgery is more suitable to patients with serious thenar atrophy along with suspicion of median nerve compression.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=bmj&un=BMJ-72692carpal tunnel syndromemini open surgeryopen surgerypatient satisfaction |
| spellingShingle | Evrim Şirin Erdem Aktas Barış Yılmaz Nazım Karahan Murat Kaya Evaluation of Functional Results of Open and Mini Open Surgery in Carpal Tunnel Syndrome Boğaziçi Tıp Dergisi carpal tunnel syndrome mini open surgery open surgery patient satisfaction |
| title | Evaluation of Functional Results of Open and Mini Open Surgery in Carpal Tunnel Syndrome |
| title_full | Evaluation of Functional Results of Open and Mini Open Surgery in Carpal Tunnel Syndrome |
| title_fullStr | Evaluation of Functional Results of Open and Mini Open Surgery in Carpal Tunnel Syndrome |
| title_full_unstemmed | Evaluation of Functional Results of Open and Mini Open Surgery in Carpal Tunnel Syndrome |
| title_short | Evaluation of Functional Results of Open and Mini Open Surgery in Carpal Tunnel Syndrome |
| title_sort | evaluation of functional results of open and mini open surgery in carpal tunnel syndrome |
| topic | carpal tunnel syndrome mini open surgery open surgery patient satisfaction |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=bmj&un=BMJ-72692 |
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