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8 - Results of surgical treatment of carpal tunnel syndrome through mini-open incision
Adnan Kara, Mehmet Mesut Sönmez, Ali Şeker, Erden Ertürer, İrfan Öztürk
Objective: Clinical results and surgical technique were evaluated in patients whom underwent mini-open surgery due to the Carpal Tunnel Syndrome (CTS).
Material and Methods: 46 wrists of the 38 patients (34 female, 4 male, mean age 54 years, range 36-69) whom underwent mini-open surgery (mini-palmar incision distal to the transverse carpal ligament) because of CTS between April 2005 - March 2010 were evaluated retrospectively. Patients were followed-up for an average of 48,2 months (range 27-86 months). Patients were clinically and functionally evaluated with Bostons scale and visual analog scale (VAS). Also complications were assessed.
Results: A statistically significant improvement (p<0.05) was detected in Boston scale and visual analogue scale compared with preoperative assessment. One of the patients complaint of sensitivity over the scar of incision, iatrogenic common nerve injury was repaired during surgery. Patients were returned to their daily activities during the second week. Conservative treatment was followed with a case of recurrence. We did not perform any revision surgery.
Conclusion: Successful clinical results are obtained in surgical treatment of the carpal tunnel syndrome, however minimal invasive surgery can be preferred because of the decreased complication rates like sensititvity of the scare tissue, tenderness and earlier return to daily.
Keywords: Carpal tunnel syndrome, surgery, mini open, surgical technique
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