Comparing open surgery with endoscopic releasing in the treatment of carpal tunnel syndrome

Aim: The aim of this study is to retrospectively assess the complications and result of cases that underwent open surgery or endoscopic releasing for carpel tunnel syndrome. Method: A total of 50 cases of carpel tunnel syndrome, 30 of whom underwent endoscopic release using the biportal extrabursal technique described by Chow, and the other 20 that underwent open surgery were included in the study. Average age of the cases was 41 (24-62), 44 of them were females and 6 males. Results: Follow-up examinations of the patients at the first and third month after operation revealed no limitation of activity in 40 (80%) cases, minimal limitation in 4 (8%), moderate limitation in 5 (10%) and significant limitation in 1 (2%). Among the group that underwent endoscopic release, as a major complication, the median nerve was almost totally cut in a patient undergoing endoscopic release. During the same operation setting perifascicular neurorrhaphy was done. Fourth and fifth digital nerve lesions occurred in three cases. Among the group that underwent open surgery fourth and fifth digital nerve injury occurred in one case, and in another case severe inflammation requiring reoperation occurred. Conclusion: Before intervention, cases of carpal tunnel syndrome should be examined well as regards which technique to use. Experience of the surgeon with the technique to be used should also be taken into consideration. Endoscopic carpal tunnel releasing, though a relatively easier procedure, leads to neurovascular injuries more frequently than open surgery; thus open surgery appears to be safer.

Yazar Kiymaz N.
Cirak B.
Tuncay I.
Demir Ö.
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/4781
Tek Biçim Adres 10.1055/s-2002-36361
Konu Başlıkları Carpal tunnel syndrome
Endoscopic carpal tunnel releasing
Open surgery
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
Scopus İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı Minimally Invasive Neurosurgery
Dergi Cilt Bilgisi 45
Dergi Sayısı 4
Sayfalar 228 - 230
Yayın Yılı 2002
Eser Adı
[dc.title]
Comparing open surgery with endoscopic releasing in the treatment of carpal tunnel syndrome
Yazar
[dc.contributor.author]
Kiymaz N.
Yazar
[dc.contributor.author]
Cirak B.
Yazar
[dc.contributor.author]
Tuncay I.
Yazar
[dc.contributor.author]
Demir Ö.
Yayın Yılı
[dc.date.issued]
2002
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Aim: The aim of this study is to retrospectively assess the complications and result of cases that underwent open surgery or endoscopic releasing for carpel tunnel syndrome. Method: A total of 50 cases of carpel tunnel syndrome, 30 of whom underwent endoscopic release using the biportal extrabursal technique described by Chow, and the other 20 that underwent open surgery were included in the study. Average age of the cases was 41 (24-62), 44 of them were females and 6 males. Results: Follow-up examinations of the patients at the first and third month after operation revealed no limitation of activity in 40 (80%) cases, minimal limitation in 4 (8%), moderate limitation in 5 (10%) and significant limitation in 1 (2%). Among the group that underwent endoscopic release, as a major complication, the median nerve was almost totally cut in a patient undergoing endoscopic release. During the same operation setting perifascicular neurorrhaphy was done. Fourth and fifth digital nerve lesions occurred in three cases. Among the group that underwent open surgery fourth and fifth digital nerve injury occurred in one case, and in another case severe inflammation requiring reoperation occurred. Conclusion: Before intervention, cases of carpal tunnel syndrome should be examined well as regards which technique to use. Experience of the surgeon with the technique to be used should also be taken into consideration. Endoscopic carpal tunnel releasing, though a relatively easier procedure, leads to neurovascular injuries more frequently than open surgery; thus open surgery appears to be safer.
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Carpal tunnel syndrome
Konu Başlıkları
[dc.subject]
Endoscopic carpal tunnel releasing
Konu Başlıkları
[dc.subject]
Open surgery
Haklar
[dc.rights]
info:eu-repo/semantics/closedAccess
ISSN
[dc.identifier.issn]
0946-7211
İlk Sayfa Sayısı
[dc.identifier.startpage]
228
Son Sayfa Sayısı
[dc.identifier.endpage]
230
Dergi Adı
[dc.relation.journal]
Minimally Invasive Neurosurgery
Dergi Sayısı
[dc.identifier.issue]
4
Dergi Cilt Bilgisi
[dc.identifier.volume]
45
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.1055/s-2002-36361
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/4781
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
11
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
05 Şubat 2024 14:33
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Tıklayınız
surgery underwent tunnel endoscopic limitation release technique syndrome occurred operation releasing digital carpal carpel should injury another fourth setting lesions Fourth neurorrhaphy perifascicular inflammation During undergoing patient totally severe regards requiring Endoscopic appears frequently injuries
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