Abstract                 Volume:5  Issue-7  Year-2018          Original Research Articles

IJCRBP is now DOI (CrossRef) registered Research Journal. The DOIs are assigned to all published IJCRBP Articles.

Online ISSN : 2349-8080
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Open versus Endoscopic Release of Carpal Tunnel Syndrome
Mustafa Elsagair1,3*, Ala Wafa2, Wisam Abozaid1,3 and Aziz Teeka1,3
1Orthopedic Department, Aljazeera Hospital, Misurata, Libya 2General Surgery Department, Aljazeera Hospital, Misurata, Libya 3Orthopedic Department, Almahjob General Hospital, Misurata, Libya
*Corresponding author
Abstract:

A total of 90 hands belonging to 80 patients were included in the study. They were mostly female (70) and the rest were male (10).  There were 30 endoscopic releases, 60 open releases, and 2 endoscopic converted to open release. There were 15 hands complications in 90 hands. The overall complica­tion rate was 12.2%. Complications noted were pillar pain, open tendonitis presenting as De Quervain disease or trigger finger (1 endoscopic surgeries, 1 open surgeries), infection (1 endo­scopic surgeries, 3 open surgeries), wound adhesion (3 open surger­ies), nerve injury (2 open surgery, 1 endoscopic), complex regional pain syndrome (4 open surgery), and scheduled re­turns to the operating room (OR) for recurrent, ongoing, or wors­ening symptoms (1 endoscopic surgeries, 5 open surgeries). In carpal tunnel syndrome, endoscopic surgery was associated with less postoperative pain than open surgery, but the small size of the benefit and similarity in other outcomes make its cost effectiveness uncertain. There were 12 patients (out of 90) in the surgery group had painful or hypertrophic scar or pillar pain. Wound adhesion and pillar pain was the only statistically significant complica­tion found in the study when comparing open with endoscopic carpal tunnel release. This can potentially be pre­vented in future patients by delaying the removal of sutures and prolong­ing the use of a protective dressing in patients who undergo open release. There was not a statistically signifi­cant increase in overall complications when using the minimally invasive method of release, which is consis­tent with existing literature.

Keywords: Carpal tunnel syndrome, Endoscopic release, Open surgery, Pillar pain
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How to cite this article:

Elsagair, M., Wafa, A., Abozaid, W., Teeka, A., 2018. Open versus endoscopic release of carpal tunnel syndrome.Int.J.Curr.Res.Biosci.Plantbiol. 5(7): 37-42. doi: https://doi.org/10.20546/ijcrbp.2018.507.005