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document
Carpal tunnel release by limited palmar incision vs traditional open technique : randomized controlled trial . AIM To compare a limited palmar incision for carpal tunnel release ( CTR ) with a traditional open technique , which is still considered the gold standard . METHODS Seventy-two patients with a carpal tunnel syndrome were individually randomized into the trial ( limited incision CTR ) ( n=36 ) and control group ( traditional technique CTR ) ( n=36 ) . In the trial group , skin incision parallel to the thenar crease was made up to 2.5 cm in length , under an operating microscope and endoscopic transillumination . Skin incision in the control group began at the distal border of the carpal ligament , followed the longitudinal crease of the palm , and crossed the base of the palm in a zigzag fashion . Three months after surgery , the patients were asked about symptomatic relief and intervals between the operation and return to their daily activities and work , and examined for scar tenderness and esthetic outcome . Distal motor latency , conduction velocity , scar length , scar width , and operation time were measured . RESULTS There were no differences between the two groups in symptomatic relief and electrophysiological parameters . Intervals between the operation and return to daily activities ( median 5 days , range 2-15 ) were shorter in the trial group than in the control group ( median 10 days , range 2-21 ; p < 0.001 ) , as well as the intervals between the operation and return to work ( median 15 days , range 5-45 vs median 30 days , range 10-60 ; p < 0.001 ) . Scar/pillar tenderness , scar length and width , esthetic outcome , and operation time were significantly better in the trial group . CONCLUSION Limited palmar incision CTR is as effective and safe as traditional CTR technique , but with better postoperative recovery and cosmetic results .
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Intervention_Surgical
limited palmar incision
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Intervention_Physical
traditional open technique
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Intervention_Surgical
limited palmar incision
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Intervention_Physical
for
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Intervention_Surgical
carpal tunnel release ( CTR )
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Intervention_Physical
traditional open technique
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Intervention_Physical
(
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Intervention_Surgical
limited incision CTR
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Intervention_Physical
)
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Intervention_Physical
( traditional technique CTR )
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Intervention_Surgical
Skin incision
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Intervention_Surgical
Limited palmar incision CTR
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Intervention_Physical
traditional CTR technique
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Outcome_Physical
symptomatic relief and intervals between the operation and return to their daily activities and work , and examined for scar tenderness and esthetic outcome . Distal motor latency , conduction velocity , scar length , scar width , and operation time
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Outcome_Physical
symptomatic relief and electrophysiological parameters . Intervals between the operation and return to daily activities
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Outcome_Physical
intervals between the operation and return to work
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Outcome_Physical
Scar/pillar tenderness , scar length and width , esthetic outcome , and operation time
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Participant_Sample-size
Seventy-two patients
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Participant_Condition
with a carpal tunnel syndrome were individually randomized into the trial ( limited incision CTR ) ( n=36 ) and control group ( traditional technique CTR ) ( n=36 )
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Participant_Condition
trial group , skin incision parallel to the thenar crease was made up to 2.5 cm in length , under an operating microscope and endoscopic transillumination