Studies Carried Out To Explore the Outcomes of Endoscopic and Open Carpal Tunnel Release

Studies Carried Out To Explore the Outcomes of Endoscopic and Open Carpal Tunnel Release

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Several studies have been carried out to explore the outcomes of endoscopic and open carpal tunnel release. A randomised controlled trial by Atroshi et al to compare endoscopic and open carpal tunnel release showed that less postoperative pain are associated with endoscopic surgery compared to open release9. This study involved 128 patients with confirmed idiopathic CTS diagnosed clinically and electrophysiologically9. Patients who underwent endoscopic released had less post operative pain in the scar and proximal hand and also less activity limitations compared to the other group (53% and 82% respectively)9. In both groups, the hand sensation and strength improved by 3 months9. Additionally, there were no differences in the severity of CTS symptoms post- operatively9. 71% of patients with endoscopic release and 72% of patients with open release reported absence of tingling and numbness after 3 months9. In terms of length work absence, there was also no significant difference between these two methods9. However, two patients with endoscopic release had worsening of symptoms and underwent open CTS release 9 months and 5 months respectively after the intial procedure9. Only 1 patient with open CTS experienced worsening of symptoms and underwent a repeat open release 12 months after the first procedure9. One of the disadvantages of this study is that the post operative pain is rated by patients and there may be some bias associated with this as patient pain tolerance is subjective and may differ9. Additionally, patients were not blinded as blinding patient throughout surgery and follow up is not possible, thus this creates observed differences and biasness9.
A randomized study by Trumble et al to compare endoscopic and open carp...


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...oscopic and open carpal tunnel release. 2006. Arthroscopy; 22(9):919-24
15. Boeckstyns M.E, Sørensen A.I. Does endoscopic carpal tunnel release have a higher rate of complications than open carpal tunnel release? An analysis of published series. 1999. Journal of hand surgery; ;24(1):9-15
16. Matthew J., Brownfield M.L., Puckett C.L. The Incidence of Recurrence after Endoscopic Carpal Tunnel Release.2000. Plastic and Reconstructive Surgery;105(5); 1662-1665
17. Chung K.C., Walters M., Greenfield M.L, Chernew M. Endoscopic versus Open Carpal Tunnel Release: A Cost-Effectiveness Analysis. 1998. Plastic & Reconstructive Surgery;102(4); 1089-1099
18. Saw NL, Jones S, Shepstone L, Meyer M, Chapman PG, Logan AM. Early outcome and cost-effectiveness of endoscopic versus open carpal tunnel release: a randomized prospective trial. Journal of hand surgery; 28(5):444-9


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