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. 2007 Jan;41(1):57-61.
doi: 10.4103/0019-5413.30527.

Endoscopic versus open carpal tunnel release: A short-term comparative study

R Malhotra  1 , E Krishna Kiran, Aman Dua, S G Mallinath, S Bhan
Affiliations

Endoscopic versus open carpal tunnel release: A short-term comparative study

R Malhotra et al. Indian J Orthop. 2007 Jan.

Abstract

Objective: To compare the results of endoscopic carpal tunnel release (CTR) with open CTR in patients with idiopathic Carpal tunnel syndrome (CTS).

Materials and methods: Seventy-one patients with CTS were enrolled in a prospective randomized study from May 2003 to December 2005. All patients had clinical signs or symptoms and electro-diagnostic findings consistent with carpal tunnel syndrome and had not responded to nonoperative management. Sixty-one cases were available for follow-up. Endoscopic CTR was performed in 30 CTS patients and open CTR was performed in 31 wrists (30 patients). Various parameters were evaluated, including each patient's symptom amelioration, complications, operation time, time needed to resume normal lifestyle and the frequency of revision surgery. All the patients were followed up for six months.

Results: During the initial months after surgery, the patients treated with the endoscopic method were better symptomatically and functionally. Local wound problems in terms of scarring or scar tenderness were significantly more pronounced in patients undergoing open CTR compared to patients undergoing endoscopic CTR. Average delay to return to normal activity was appreciably less in group undergoing endoscopic CTR. No significant difference was observed between the endoscopic CTR group and open CTR group in regard to symptom amelioration, electromyographic testing and complications at the end of six months.

Conclusion: Short-term results were better with the endoscopic method as there was no scar tenderness. Results at six months were comparable in both groups.

Keywords: Carpal tunnel syndrome; endoscopic carpal tunnel release.

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Conflict of interest statement

Conflict of Interest: None declared.

References

    1. Brown RA, Gelberman RH, Seiler JG, 3rd, Abrahamsson SO, Weiland AJ, Urbaniak JR, et al. Carpal tunnel release. A prospective, randomized assessment of open and endoscopic methods. J Bone Joint Surg. 1993;75-A:1265–75. - PubMed
    1. Gelberman RH. Carpal tunnel release. Open release of the transverse carpal ligament. In: Gelberman RH, editor. Operative nerve repair and reconstruction. Volume 2. Philadelphia: JB Lippincott; 1991. pp. 899–912.
    1. Pfeffer GB, Gelberman RH, Boyes JH, Rydevik B. The history of carpal tunnel syndrome. J Hand Surg (Br) 1988;13:28–34. - PubMed
    1. Agee JM, McCarroll HR, Jr, Tortosa RD, Berry DA, Szabo RM, Peimer CA. Endoscopic release of the carpal tunnel: A randomized prospective multicenter study. J Hand Surg (Am) 1992;17:987–95. - PubMed
    1. Chow JC. Endoscopic release of the carpal ligament for carpal tunnel syndrome: 22-month clinical result. Arthroscopy. 1990;6:288–96. - PubMed

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