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. 2019 Nov-Dec;35(6):1532-1537.
doi: 10.12669/pjms.35.6.967.

Comparison of open and endoscopic carpal tunnel surgery regarding clinical outcomes, complication and return to daily life: A prospective comparative study

Tahsin Gurpinar  1 , Baris Polat  2 , Ayse Esin Polat  3 , Engin Carkci  4 , Ahmet Sinan Kalyenci  5 , Yusuf Ozturkmen  6
Affiliations

Comparison of open and endoscopic carpal tunnel surgery regarding clinical outcomes, complication and return to daily life: A prospective comparative study

Tahsin Gurpinar et al. Pak J Med Sci. 2019 Nov-Dec.

Abstract

Objective: This study aimed to compare the clinical results and complications as well as patient satisfaction in patients with carpal tunnel syndrome operated with open carpal tunnel release (OCTR) or endoscopic carpal tunnel release (ECTR) techniques.

Methods: This study conducted in Istanbul Training and Research Hospital between August 2016 and January 2018. A total of 54 patients were operated with the ECTR technique and 50 patients were operated with the OCTR technique after failing nonsurgical treatment. Patients functional scores are assessed with the carpal tunnel syndrome-functional status score (CTS-FSS) and carpal tunnel syndrome-symptom severity score (CTS-SSS). Operation time, incision length and complications of the two techniques were noted and compared.

Results: The age, sex distribution, distribution of sides, and complaint period were not significant (p > 0.05) between the groups. The preoperative or postoperative CTS-SSS and CTS-FSS values did not differ significantly (p > 0.05). Incision length, time to return to work and return to daily life in the OCTR group was significantly higher than the ECTR group (p < 0.05).

Conclusion: ECTR has similar results in terms of symptom relief, severity, functional status, pillar pain and complication rates compared to OCTR. However, it has the advantages of early return to daily life, early return to work and less incision length.

Keywords: Carpal tunnel release; Carpal tunnel syndrome; Endoscopy.

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Figures

Fig. 1
Fig. 1
Image of a patient operated by the OCTR technique.
Fig. 2
Fig. 2
(A): Image of a patient operated by ECTR technique (B): Image of visualization from arthroscope.
Fig. 3
Fig. 3
The distribution of statistical different parameters between the two groups.
See this image and copyright information in PMC

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