Differences in the Postoperative Outcomes According to the Primary Treatment Options Chosen by Patients With Carpal Tunnel Syndrome

Min, Soo; Shin, Hyun Dae; Ahn, Jae Sung; Beom, Jae Won; Kim, Dong Yeol

doi:10.1097/sap.0000000000000598

Cited by 20 publications

(11 citation statements)

References 23 publications

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“…The sample size was calculated using the BCTQ score difference. We used the BCTQ score as the principal outcome and attempted to determine a 5-point mean difference between the two groups (for an effective size of 0.3) 10 .…”

Section: Discussionmentioning

confidence: 99%

“…We evaluated all of the patients' basic demographic factors including age, sex, onset time, time from diagnosis to surgery, dominant/nondominant wrist, and occupational classification, which was based on The Standard Occupational Classification 2010 10 . This classification is based on two main concepts: the type of work performed (job) and the skill required to perform the duties (Table 1).…”

Section: Demographic Variablesmentioning

confidence: 99%

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Effects of a Temperature-sensitive, Anti-adhesive Agent on the Clinical Outcome of Carpal Tunnel Release Surgery

Min

Shin

2018

Arch Hand Microsurg

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Purpose:We investigated the anti-adhesive effects of a temperature-sensitive poloxamer/alginate mixture (Guardix-SG ® ; Hanmi Medicare Inc., Korea) through a prospective randomized controlled study for carpal tunnel release surgery. Methods: The 47 patients who received the infusion were classified as Group 1, and the 51 patients who did not were classified as Group 2. Basic demographic factors and preoperative clinical status were evaluated. At the postoperative 18 months, the degree of clinical recovery and adhesion around the median nerve for both groups were evaluated and compared using sonography. Results:The clinical outcomes, which were assessed using the six-item carpal tunnel symptoms scale, were not significantly different between the groups. However, sonography showed that adhesions around the median nerve were significantly less common in the infusion group. Conclusion: Although the anti-adhesive effects of the temperature-sensitive Guardix-SG® were apparent upon radiological investigation, its use was not associated with a significant difference in clinical outcome on the short-term period follow-up.

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Section: Discussionmentioning

confidence: 99%

Section: Demographic Variablesmentioning

confidence: 99%

Effects of a Temperature-sensitive, Anti-adhesive Agent on the Clinical Outcome of Carpal Tunnel Release Surgery

Min

Shin

2018

Arch Hand Microsurg

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“…While there are conservative treatment options, surgical care has proven its worth because of its high efficiency and low risk of complications. Different surgical procedures have been developed with open and endoscopic surgery, but many surgeons prefer the open carpal tunnel release because it is a well‐tried and tested method, has a high success rate, a low complication rate, and predictable postoperative results 3 . Complications of this procedure are—among others—surgical site infections (SSI) and postoperative wound healing disorders (WHD) 4 .…”

Section: Introductionmentioning

confidence: 99%

“…Different surgical procedures have been developed with open and endoscopic surgery, but many surgeons prefer the open carpal tunnel release because it is a well‐tried and tested method, has a high success rate, a low complication rate, and predictable postoperative results. 3 Complications of this procedure are—among others—surgical site infections (SSI) and postoperative wound healing disorders (WHD). 4 Some risk factors, such as obesity, diabetes mellitus, and many more, have already been investigated in previous studies.…”

Section: Introductionmentioning

confidence: 99%

Seasonal impact on surgical site infections and wound healing disturbance in carpal tunnel surgery: A retrospective cohort study

Froschauer

Raher

Holzbauer

et al. 2021

International Wound Journal

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Carpal tunnel syndrome is the most common entrapment syndrome of a peripheral nerve. The gold standard treatment is open carpal tunnel release which has a high success rate, a low complication rate, and predictable postoperative results. However, it has not been analysed yet if there is a seasonal influence on complications for carpal tunnel release, a highly elective procedure. In this retrospective study, we determine whether there is a seasonal impact on surgical site infections (SSI) and wound healing disorders (WHD) in primary carpal tunnel syndrome surgery. Between 2014 and 2018, we have assessed 1385 patients (65% female, 35% male) at a mean age of 61.9 (SD 15.3) years, which underwent open carpal tunnel release because of primary carpal tunnel syndrome. The seasonal data such as the warm season (defined as the period from 1st of June until 15th of September), the average daily and monthly temperature, and the average relative humidity were analysed. Patient demographics were examined including body mass index, alcohol and nicotine abuse, the use of anticoagulants and antiplatelet drugs as well as comorbidities. These data were correlated regarding their influence to the rate of surgical site infections and wound healing disorders in our study collective. A postoperative SSI rate of 2.4% and a WHD rate of 7% were detected. Our data confirms the warm season, the average monthly temperature, and male sex as risk factors for increasing rates of WHDs. Serious SSIs with subsequent revision surgery could be correlated with higher age and higher relative humidity. However there is no seasonal impact on SSIs. We therefore advise considering the timing of this elective surgery with scheduling older male patients preferably during the cold season to prevent postoperative WHDs.

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“…However, Verdugo and colleagues reported that CTRS relieves symptoms significantly better than splinting (Verdugo, Salinas, Castillo, & Cea, 2008). Moreover, patients who first underwent nonsurgical treatment and delayed surgery for 6 months had worst outcomes than patients whose initial treatment was surgery (Cha, Shin, Ahn, Beom, & Kim, 2016). Although, there are studies describing the superior efficacy of CTRS (Calandruccio & Thompson, 2018), it has recently been described that 25% of patients did not experience any clinically significant improvement after CTRS, due to other factors, such as smoking for example (Dahlin et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Comparison of amniotic membrane transplantation and carpal tunnel syndrome release surgery (CTRS) and CTRS alone: Clinical outcomes at 1‐year follow‐up

Buentello-Volante

Molina‐Medinilla

Aguayo‐Flores

et al. 2020

J Tissue Eng Regen Med

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Carpal tunnel syndrome (CTS) is the most common focal entrapment mononeuropathy, comprising medium nerve chronic inflammation and fibrosis.Although carpal tunnel release surgery (CTRS) has demonstrated to be effective, around 3% to 25% of CTRS show recurrence. Amniotic membrane transplantation (AMT) has been used in different pathologies inhibiting inflammation and fibrosis and promoting nerve repair. The aim of this study was to determine the efficacy of AMT in CTRS. The present study comprised a randomized, single-blind controlled trial to compare the 1-year follow-up outcomes of AMT in CTRS (AMT group) or CTRS alone (control group) in patients with CTS. Thirty-five patients with unilateral or bilateral CTS were enrolled, and 47 wrists were randomized into two groups: the AMT group and the control group. To compare the outcomes, three different questionnaires scores (Boston Carpal Tunnel Syndrome Questionnaire, Disabilities of the Arm, Shoulder, and Hand, and Historical-Objective scale) were used. Evaluations were assessed at baseline and at 15 days, 1, 3, 6, and 12 months after surgery. Compared with the control group, the AMT group showed significant (p < 0.05) reductions in all scores from 6 months after surgery until the end of the study. Both AMT and control groups showed significant intragroup differences in all scores, since the first month after surgery until the end of the study in comparison with the baseline scores. Taken together, these results indicate that CTRS in conjunction with AMT is more effective than CTRS alone in patients with CTS at 1-year follow-up.

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Differences in the Postoperative Outcomes According to the Primary Treatment Options Chosen by Patients With Carpal Tunnel Syndrome

Cited by 20 publications

References 23 publications

Effects of a Temperature-sensitive, Anti-adhesive Agent on the Clinical Outcome of Carpal Tunnel Release Surgery

Effects of a Temperature-sensitive, Anti-adhesive Agent on the Clinical Outcome of Carpal Tunnel Release Surgery

Seasonal impact on surgical site infections and wound healing disturbance in carpal tunnel surgery: A retrospective cohort study

Comparison of amniotic membrane transplantation and carpal tunnel syndrome release surgery (CTRS) and CTRS alone: Clinical outcomes at 1‐year follow‐up

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