Long-term Results of Two Different Surgical Techniques Used in Carpal Tunnel Syndrome
Objective Carpal tunnel syndrome (CTS), the compression of the median nerve under the carpal ligament, is the most common peripheral nerve entrapment of the upper extremity. While conservative treatment is used for patients with mild and moderate symptoms, surgical treatment is preferred for severe...
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2021-03-01
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| Series: | Indian Journal of Neurosurgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1725209 |
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| author | Serdar Ercan Zeki Serdar Ataizi |
| author_facet | Serdar Ercan Zeki Serdar Ataizi |
| author_sort | Serdar Ercan |
| collection | DOAJ |
| description | Objective Carpal tunnel syndrome (CTS), the compression of the median nerve under the carpal ligament, is the most common peripheral nerve entrapment of the upper extremity. While conservative treatment is used for patients with mild and moderate symptoms, surgical treatment is preferred for severe symptoms. The aim of the study is to evaluate the difference between transverse and longitudinal incision by comparing postoperative pain and recurrence rates.
Methods The patients were divided into two groups according to the surgical incision type. Surgical intervention was applied to patients in group T (transverse incision) and group L (longitudinal incision) by the same two surgeons in each group. All patients were followed-up with electromyography (EMG) and performance scale before and after surgical treatment. If the postoperative EMG result was similar to the preoperative EMG result, it was accepted as recurrent CTS.
Results A total of 418 patients were included to the study. Six patients in the group T with transverse incision, and 18 patients in the group L with longitudinal incision, were reoperated for an average of 6 ± 2 months after the primary surgery.
Conclusion Complications are less, and recurrent nerve compression is less in longitudinal approach, since surgical intervention is performed by seeing the median nerve directly. |
| format | Article |
| id | doaj-art-651c9fef36f645adb453a5edf2ea5450 |
| institution | Kabale University |
| issn | 2277-954X 2277-9167 |
| language | English |
| publishDate | 2021-03-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Neurosurgery |
| spelling | doaj-art-651c9fef36f645adb453a5edf2ea54502025-08-20T03:34:35ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Neurosurgery2277-954X2277-91672021-03-01100106506810.1055/s-0041-1725209Long-term Results of Two Different Surgical Techniques Used in Carpal Tunnel SyndromeSerdar Ercan0Zeki Serdar Ataizi1Department of Neurosurgery, Eskisehir City Hospital, Eskisehir, TurkeyDepartment of Neurosurgery, Yunus Emre State Hospital, Eskisehir, TurkeyObjective Carpal tunnel syndrome (CTS), the compression of the median nerve under the carpal ligament, is the most common peripheral nerve entrapment of the upper extremity. While conservative treatment is used for patients with mild and moderate symptoms, surgical treatment is preferred for severe symptoms. The aim of the study is to evaluate the difference between transverse and longitudinal incision by comparing postoperative pain and recurrence rates. Methods The patients were divided into two groups according to the surgical incision type. Surgical intervention was applied to patients in group T (transverse incision) and group L (longitudinal incision) by the same two surgeons in each group. All patients were followed-up with electromyography (EMG) and performance scale before and after surgical treatment. If the postoperative EMG result was similar to the preoperative EMG result, it was accepted as recurrent CTS. Results A total of 418 patients were included to the study. Six patients in the group T with transverse incision, and 18 patients in the group L with longitudinal incision, were reoperated for an average of 6 ± 2 months after the primary surgery. Conclusion Complications are less, and recurrent nerve compression is less in longitudinal approach, since surgical intervention is performed by seeing the median nerve directly.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1725209peripheral nervecarpal tunnelentrapmentsurgical approachrecurrence |
| spellingShingle | Serdar Ercan Zeki Serdar Ataizi Long-term Results of Two Different Surgical Techniques Used in Carpal Tunnel Syndrome Indian Journal of Neurosurgery peripheral nerve carpal tunnel entrapment surgical approach recurrence |
| title | Long-term Results of Two Different Surgical Techniques Used in Carpal Tunnel Syndrome |
| title_full | Long-term Results of Two Different Surgical Techniques Used in Carpal Tunnel Syndrome |
| title_fullStr | Long-term Results of Two Different Surgical Techniques Used in Carpal Tunnel Syndrome |
| title_full_unstemmed | Long-term Results of Two Different Surgical Techniques Used in Carpal Tunnel Syndrome |
| title_short | Long-term Results of Two Different Surgical Techniques Used in Carpal Tunnel Syndrome |
| title_sort | long term results of two different surgical techniques used in carpal tunnel syndrome |
| topic | peripheral nerve carpal tunnel entrapment surgical approach recurrence |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1725209 |
| work_keys_str_mv | AT serdarercan longtermresultsoftwodifferentsurgicaltechniquesusedincarpaltunnelsyndrome AT zekiserdarataizi longtermresultsoftwodifferentsurgicaltechniquesusedincarpaltunnelsyndrome |