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)

Levent Gürses*¹and Emine Arik²

Received: April 20, 2018;   Published: April 30, 2018

DOI: 10.26717/BJSTR.2018.04.001013

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Abstract

Aim: Evaluation of surgical outcomes of two different incisions in patients with CTS diagnosis

Materialsand Methods: The study included 100 patients who underwent surgical operation between January / 2017-January / 2018 at the Department of Neurosurgery in Health Sciences University, Dışkapı Yıldırım Beyazıt Training and Research Hospital. Median nerve decompression surgery was performed with standard longitudinal incision on 50 patients and with transverse mini incision on 50 patients. Patients were evaluated retrospectively according to the Boston Carpal Tunnel Syndrome Questionnaire (BCTQ).

Results: Patients who had surgery were divided into two groups according to the surgical technique applied and these groups were compared according to BCTQ in terms of symptom severity and functional status. In the postoperative period, the symptom severity scale in the Transverse Group was found to be less than in the Longitudinal Group and no complication involving the motor nerve was observed in any of the patients.

Conclusion: According to this study, the preference of the transverse mini-incision technique in hands experienced in the treatment of CTS surgery over the standard longitudinal technique reduces the severity of the symptoms felt by the patients during the postoperative period.

Kewords: Carpal Tunnel Syndrome; Boston Carpal Tunnel Syndrome Questionnaire; Transverse Mini Incision

Abbreviation: CTS: Carpal Tunnel Syndrome; BCTQ: Boston Carpal Tunnel Syndrome Questionnaire

Abstract| Introduction| Materials and Methods| Results| Discussion| Conclusion| References|