Outcomes of mini- incision open carpal tunnel release at Hanoi Medical University Hospital

Do Van Minh, Nguyen Trong Dat, Dao Xuan Thanh

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Abstract

Medial nerve decompression is the most radical treatment for severe carpal tunnel syndrome. The aim of the study is to evaluate the outcomes of mini- incision open carpal tunnel release. A prospective study of 47 patients with 79 carpal tunnel syndrome of affected hands who underwent mini- incision open carpal tunnel release at Hanoi Medical University Hospital from January 2020 to December 2020 was performed. Research results showed that there was a statistically significant improvement in symptom severity score, hand functional scale score, motor and sensory conduction velocity of the median nerve at 3 months and 6 months after surgery in comparation with preoperative data. Surgery was performed safely with cosmetic scars.

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References

1. Calandruccio JH, Thompson NB. Carpal Tunnel Syndrome. Orthop Clin North Am. 2018;49(2):223 - 229. doi:10.1016/j.ocl.2017.11.009
2. Huisstede BM, Randsdorp MS, Coert JH, Glerum S, van Middelkoop M, Koes BW. Carpal Tunnel Syndrome. Part II: Effectiveness of Surgical Treatments - A Systematic Review. Arch Phys Med Rehabil. 2010;91(7):1005 - 1024. doi:10.1016/j.apmr.2010.03.023
3. Duncan SFM, Kakinoki R, eds. Carpal Tunnel Syndrome and Related Median Neuropathies. Springer International Publishing; 2017. doi:10.1007/978 - 3 - 319 - 57010 - 5
4. Alfonso C, Jann S, Massa R, Torreggiani A. Diagnosis, treatment and follow - up of the carpal tunnel syndrome: a review. Neurol Sci. 2010;31(3):243 - 252. doi:10.1007/s10072 - 009 - 0213 - 9
5. Levine DW, Simmons BP, Koris MJ, et al. A self - administered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndrome. J Bone Joint Surg Am. 1993;75(11):1585 - 1592. doi:10.2106/00004623 - 199311000 - 00002
6. Padua L, LoMonaco M, Gregori B, Valente EM, Padua R, Tonali P. Neurophysiological classification and sensitivity in 500 carpal tunnel syndrome hands. Acta Neurol Scand. 1997;96(4):211 - 217. doi:10.1111/j.1600 - 0404.1997.tb00271.x
7. Trung DT, Ngoc TM, Gia DH, et al. Endoscopic carpal tunnel release surgery: a case study in Vietnam. J Orthop Surg. 2019;14(1):149. doi:10.1186/s13018 - 019 - 1192 - z
8. Chen Y, Ji W, Li T, Cong X, Chen Z. The mini - incision technique for carpal tunnel release using nasal instruments in Chinese patients. Medicine (Baltimore). 2017;96(31):e7677. doi:10.1097/MD.0000000000007677
9. Aultman H, Roth CA, Curran J, et al. Prospective Evaluation of Surgical and Anesthetic Technique of Carpal Tunnel Release in an Orthopedic Practice. J Hand Surg. 2021;46(1):69.e1 - 69.e7. doi:10.1016/j.jhsa.2020.07.023
10. Huisstede BM, Hoogvliet P, Randsdorp MS, Glerum S, van Middelkoop M, Koes BW. Carpal Tunnel Syndrome. Part I: Effectiveness of Nonsurgical Treatments–A Systematic Review. Arch Phys Med Rehabil. 2010;91(7):981 - 1004. doi:10.1016/j.apmr.2010.03.022
11. Tulipan JE, Kim N, Abboudi J, et al. Prospective Evaluation of Sleep Improvement Following Carpal Tunnel Release Surgery. J Hand Surg. 2017;42(5):390.e1 - 390.e6. doi:10.1016/j.jhsa.2017.02.009
12. Mardanpour K, Rahbar M, Mardanpour S. Functional Outcomes of 300 Carpal Tunnel Release: 1.5 cm Longitudinal Mini - incision. Asian J Neurosurg. 2019;14(3):693 - 697. doi:10.4103/ajns.AJNS_31_17
13. Saaiq M. Presentation and outcome of carpal tunnel syndrome with mini incision open carpal tunnel release. Med J Islam Repub Iran. Published online April 30, 2021. doi:10.47176/mjiri.35.67
14. El - Hajj T, Tohme R, Sawaya R. Changes in Electrophysiological Parameters After Surgery for the Carpal Tunnel Syndrome. J Clin Neurophysiol. 2010;27(3):224 - 226. doi:10.1097/WNP.0b013e3181dd4ff0
15. Zhang D, Ostergaard P, Cefalu C, Hall M, Earp BE, Blazar P. Outcomes of Mini - Open Carpal Tunnel Release in Patients With Unrecordable Preoperative Nerve Conduction Potentials at a Minimum of 5 Years. HAND. 2021;16(3):292 - 297. doi:10.1177/1558944719857815