Results of surgical treatment of carpal tunnel syndrome by mean of an open and semi - open method
DOI:
https://doi.org/10.12775/mbs-2013-0019Keywords
carpal tunnel syndrome, the hand’s function, numbness, surgical treatment, EMGAbstract
The aim of this study was to compare outcome obtained using the two methods of surgical treatment of carpal tunnel syndrome (CTS) - the open method with the method of two incisions called ‘semi-open’. The material included 478 patients, with clinically diagnosed CTS, who were surgically treated in the Department of Orthopaedics and Traumatology CM in Bydgoszcz in years from 2001 to 2010. The minimum duration of the follow up was 6 months. We prepared for the study an observation card, which includes all data relating to the treatment and follow up. Analysis of the results of treatment was based on pre and postoperative assessment of pain, touch resolution, static hand grip, strength, postoperative subjective assessment of treatment as well as EMG. Results obtained were mostly good or very good comparable in both groups operating. In the subjective assessment, significantly better outcomes were obtained when using semiopen method. The surgical treatment of carpal tunnel syndrome confirmed by EMG test should be the method of choice.References
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