Evaluation of Functional Results of Open and Mini Open Surgery in Carpal Tunnel Syndrome

Abstract

INTRODUCTION: We evaluated the functional results of open and mini open surgical approaches in carpal tunnel syndrome patients. METHODS: Group 1 was undergone open surgery while Group 2 patients were operated by mini open technique. Clinical results were evaluated with patient satisfaction questionnaire, daily activities and grip strength. RESULTS: Twenty-eight patients were male and 63 were female. There were 13 male and 29 female with a total of 42 patients in Group 1, whereas 15 male and 34 female with a total of 49 patients were present in Group 2. Daily activity score was 13.86+-1.00 for open group and 13.61+-0.98 for Group 2. Grip strength was 0.27+-0.07 bar in Group 1 and 0.31+-0.09 bar in Group 2. There was no significant difference between two groups regarding to age, sex, operation site, daily activity scores, and grip strength. Surgical time was 18.05+-1.78 minutes in Group 1 and 13.18+-1.52 min in Group 2. Return to daily activity was 16.17+-2.07 day in Group 1 and 12.53+-1.80 day in Group 2. Surgery time and time to activity return is statistically significantly higher in open surgery group compared to mini-open group. Patient satisfaction score was 87.60+-2.63 in Group 1 and 87.60+-2.63 in Group 2. Patient satisfaction questionnaire result was statistically higher for mini-open group compared to Group 1. DISCUSSION AND CONCLUSION: In tandem with similar functional results, mini-open surgery can be preferred in callous hand, while open surgery is more suitable to patients with serious thenar atrophy along with suspicion of median nerve compression.

Keywords

• carpal tunnel syndrome
• mini open surgery
• open surgery
• patient satisfaction