Clinical Comparative Study of Open Surgical Treatments of Carpal Tunnel Syndrome: Mini Open versus Classical Open Incision

Esaa Al-Kelabi, Adnan

	Clinical Comparative Study of Open Surgical Treatments of Carpal Tunnel Syndrome: Mini Open versus Classical Open Incision
Medical Journal of Babylon
Article 1, Volume 9, Issue 3, 2012, Pages 545-562
Author
Adnan Esaa Al-Kelabi
Abstract
Abstract Background: Carpal tunnel syndrome is the commonest and the most important entrapment neuropathy that affects median nerve at wrist region more commonly in middle age females, resulting in certain sensory and/or motor dysfunction of median nerve. Patients and methods: 40 patients with a carpal tunnel syndrome were individually randomized into the trial (mini-open incision CTR) (n=20) and control group (classical technique CTR) (n=20). We followed up the patients of 2 groups for period of 6 months, observation has been done at third week , third month and 6month postoperatively, the patients were asked about symptomatic pain relief and functional status of the hand (including pinch and grip functional activities ) and scored according to Boston Carpal Tunnel Questionnaire (BCTQ) score , and examined for palmar tenderness, esthetic outcome of scar and operation time were measure Results: 1) The mean symptom severity scores of BCTQ in both group decreased (improved) significantly within 3 weeks postoperatively. 2) The mean functional status scores of BCTQ is decrease earlier (in third month postoperatively ) in the trial group where the difference is significant , where as at sixth month the difference in mean of 2 group become not significant statistically. 3) The operation time is shorter in trial group. 4) The esthetic outcome and pillar tenderness is significantly better in trial group. Conclusion 1) mini-open technique is associated with significant minimal scar tenderness, esthetic outcome, significant improvements in overall hand function and shorter in operation time than classical technique. 2) The symptoms ( pain, numbness and parasthesia) in both mini-open technique and classical technique will relief early and significantly within 3weeks postoperatively. 3) The mini-open carpal tunnel release via a small palmar incision is a relatively simple and effective procedure
Keywords
CTS; mini; open CTR technique; classical CTR technique; Boston Carpal Tunnel Questionnaire

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