Effectiveness of mini-open carpal tunnel release: An outcome study
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 eval...
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2019-07-01
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| Series: | Archives of Plastic Surgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2018.00535 |
| _version_ | 1811306314186358784 |
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| author | Lieselotte R. van den Broeke Willem. J. Theuvenet Jan. J. van Wingerden |
| author_facet | Lieselotte R. van den Broeke Willem. J. Theuvenet Jan. J. van Wingerden |
| author_sort | Lieselotte R. van den Broeke |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-13T08:42:14Z |
| format | Article |
| id | doaj.art-75a2821f21e14ea6b92a22de5adf5260 |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-13T08:42:14Z |
| publishDate | 2019-07-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-75a2821f21e14ea6b92a22de5adf52602022-12-22T02:53:51ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712019-07-01460435035810.5999/aps.2018.005353647Effectiveness of mini-open carpal tunnel release: An outcome studyLieselotte R. van den Broeke0Willem. J. Theuvenet1Jan. J. van Wingerden2Department of Plastic, Reconstructive and Hand Surgery, Gelre Hospital, Apeldoorn, the NetherlandsDepartment of Plastic, Reconstructive and Hand Surgery, Gelre Hospital, Apeldoorn, the NetherlandsDepartment of Plastic, Reconstructive and Hand Surgery, Gelre Hospital, Apeldoorn, the NetherlandsBackground 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.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2018.00535carpal tunnel syndromepatient reported outcome measurestreatment outcomedecompression, surgical |
| spellingShingle | Lieselotte R. van den Broeke Willem. J. Theuvenet Jan. J. van Wingerden Effectiveness of mini-open carpal tunnel release: An outcome study Archives of Plastic Surgery carpal tunnel syndrome patient reported outcome measures treatment outcome decompression, surgical |
| title | Effectiveness of mini-open carpal tunnel release: An outcome study |
| title_full | Effectiveness of mini-open carpal tunnel release: An outcome study |
| title_fullStr | Effectiveness of mini-open carpal tunnel release: An outcome study |
| title_full_unstemmed | Effectiveness of mini-open carpal tunnel release: An outcome study |
| title_short | Effectiveness of mini-open carpal tunnel release: An outcome study |
| title_sort | effectiveness of mini open carpal tunnel release an outcome study |
| topic | carpal tunnel syndrome patient reported outcome measures treatment outcome decompression, surgical |
| url | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2018.00535 |
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