Outcome of Open Carpal Tunnel Release Surgery for Carpal Tunnel Syndrome

Shakirullah ., Muhammad Azam, Muhammad Inam ul Haq, Muhammad Usman, Muhammad Ishaq

Abstract


Background: Carpal tunnel syndrome, the most common compressive peripheral neuropathy of the upper limb, failed to
conservative treatment, needs surgical management.
Objective: To find out the role of open carpal tunnel release surgery in the form of relieve of symptoms and complications in carpal tunnel syndrome.
Material & Methods: It was a prospective descriptive study conducted at the department of Neurosurgery, Lady Reading Hospital MTI, Peshawar from 1st July 2016 to 30th June 2017. A total of 96 patients (108 hands) were included in the study, which underwent Open Carpal Tunnel Release surgery for median nerve compression after applying the inclusion and exclusion criteria.
Results: Out of total 96, 12 patients were having bilateral Carpal Tunnel Syndrome, so the total number of hands were 108. Female were 89 (92.7%) and male were 7 (7.3%). Mean age of the patients was 35 ± 7years. Right hand, the dominant hand, was involved in 57 (52.8%) cases. After Open Carpal Tunnel Release Surgery improvement in symptoms was noted in 95 (87.96%) and 97 (89.81%) cases after 2 and 6 weeks of surgery respectively. The infection was noted in 3 (2.78%) and 1(0.92%) hands, and joint stiffness in 2 (1.85%) and 1 (0.92%) hands after 2 and 6 weeks.
Conclusion: Open Carpal Tunnel Release Surgery is very helpful in terms of improvement of patients' symptoms and having fewer complications.

Keywords


Surgical Outcome, Carpal tunnel syndrome, Open carpal tunnel release

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