Carpal tunnel release with a new mini-incision approach versus a conventional approach, a retrospective cohort study

Bai, Jing; Kong, Lingde; Zhao, Hongfang; Yu, Kaijiang; Bing, Zhang; Zhang, Jichun; Tian, Dehu

doi:10.1016/j.ijsu.2018.02.033

Cited by 26 publications

(30 citation statements)

References 21 publications

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“…The main complaint of the patients was about the scar of the surgery and the date of starting to use their hand in daily activities and return to work. 5,6,9,11,14,15,[18][19][20] Therefore, the later points were of interest for clinical analysis of the results of this study. The differences between both groups were statistically significant regarding the operative data.…”

Section: Resultsmentioning

confidence: 99%

Limited mid palmar versus extended incision in surgical treatment of carpal tunnel syndrome: Clinical analysis

et al. 2020

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Background and objective: There are different methods and incisions to release the transverse carpal ligament in carpal tunnel syndrome. This study aimed to compare the surgical outcome of the conventional extended incision with the limited mid palmar one. Methods: The study was a prospective comparative one. Patients with carpal tunnel syndrome were divided into two groups: Group 1 was patients operated on by the conventional extended incision, Group 2 with a limited mid palmar incision. Results: The patients included were 79 with 89 hands. The age mean was 41 years. Group 1 included 47, and Group 2 included 42 hands. The differences between both groups were statistically significant regarding the operative data (the incision length and the operative time) and the post-operative data (the duration of analgesia needed, the date of starting to use the hand in daily life activities, and return to work). However, the date of improvement of the sensory symptoms from the fingers showed no significant differences. The sum of the overall complications that occurred for the cases of Group 2 was about a third of that occurred for Group 1. The highly significant difference was in the scar tenderness in the third month of the post-operative period. Conclusion: The limited mid palmar incision to release the entrapment of median nerve in carpal tunnel syndrome offers a shorter operative time, less analgesia needed post-operatively, less complication rate, less scar tenderness, earlier use of the hand in daily life activities, and return to work in a shorter period. Keywords: Carpal tunnel syndrome; Surgical treatment; Incision.

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Section: Resultsmentioning

confidence: 99%

Limited mid palmar versus extended incision in surgical treatment of carpal tunnel syndrome: Clinical analysis

et al. 2020

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“…Surgical treatment should be performed in unresponsive patients [2,3,8]. The patients who are operated with a classical longitudinal incision (incision starting proximal to the superficial palmar arch, immediately followed by turning the wrist line at an angle of 45 degrees towards the ulnar side and passing the wrist line about 1cm) cannot use their hands for about 15 days due to postoperative pain, limitation of movement and scar tissue [6]. For these reasons, minimal approaches have been introduced in recent years in order to replace this surgical method [7].…”

Section: Discussionmentioning

confidence: 99%

Assessment of the Results of Two Different Incision Techniques, Severity of the Symptoms and Functional Status in the Surgical Treatment of Carpal Tunnel Syndrome (CTS)

Gürsesmd.¹

2018

BJSTR

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“… 15 16) There are abundant reports on grip strength recovery patterns following CTR, and most researchers have suggested that patients usually achieved total grip strength recovery 3 to 6 months postoperatively ( Table 1 ). 2 17 18 19 20 21 22 23 24 25 26 27) Some researchers reported rapid grip strength recovery in 4 to 6 weeks postoperatively. 2 17 19 23) …”

Section: Grip Strength In Carpal Tunnel Syndromementioning

confidence: 99%

Grip Strength Measurement for Outcome Assessment in Common Hand Surgeries

Lee

Gong

2022

Clin Orthop Surg

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Grip strength has been used to evaluate the upper extremity functional status and clinical outcomes following upper extremity trauma or surgery. Understanding general recovery patterns of grip strengthening can be helpful in assessing the patients’ recovery status and in assisting in preoperative consultations regarding expectations for recovery. We summarize related studies on grip strength measurement and recovery patterns in common hand conditions, including carpal tunnel syndrome, cubital tunnel syndrome, triangular fibrocartilage complex injury, and distal radius fractures.

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Carpal tunnel release with a new mini-incision approach versus a conventional approach, a retrospective cohort study

Abstract: Patients with mini-incision approach have satisfactory surgical outcomes, low postoperative complications, and good appearance.

Cited by 26 publications

References 21 publications

Limited mid palmar versus extended incision in surgical treatment of carpal tunnel syndrome: Clinical analysis

Limited mid palmar versus extended incision in surgical treatment of carpal tunnel syndrome: Clinical analysis

Assessment of the Results of Two Different Incision Techniques, Severity of the Symptoms and Functional Status in the Surgical Treatment of Carpal Tunnel Syndrome (CTS)

Grip Strength Measurement for Outcome Assessment in Common Hand Surgeries

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