Comparison of open and endoscopic carpal tunnel surgery regarding clinical outcomes, complication and return to daily life: A prospective comparative study

  • Tahsin Gürpınar Istanbul Training and Resarch Hospital, Department of Orthopedics and Traumatology, Istanbul, Turkey.
  • Barış Polat University of Kyrenia, Faculty of Medicine, Department of Orthopaedics and Traumatology, Nicosia, Cyprus
  • Ayşe Esin Polat Dr. Akçiçek State Hospital, Department of Orthopaedics and Traumatology, Kyrenia, Cyprus.
  • Engin Carkçı Istanbul Training and Resarch Hospital, Department of Orthopedics and Traumatology, Istanbul, Turkey.
  • Ahmet Sinan Kalyenci Istanbul Training and Resarch Hospital, Department of Orthopedics and Traumatology, Istanbul, Turkey.
  • Yusuf Oztürkmen Istanbul Training and Resarch Hospital, Department of Orthopedics and Traumatology, Istanbul, Turkey.
Keywords: Carpal tunnel syndrome, Carpal tunnel release, Endoscopy

Abstract

Objective: This study aimed to compare the clinical results and complications as well as patient satisfaction in patients with carpal tunnel syndrome operated with open carpal tunnel release (OCTR) or endoscopic carpal tunnel release (ECTR) techniques.

Methods: This study conducted in Istanbul Training and Research Hospital between August 2016 and January 2018. A total of 54 patients were operated with the ECTR technique and 50 patients were operated with the OCTR technique after failing nonsurgical treatment. Patients functional scores are assessed with the carpal tunnel syndrome-functional status score (CTS-FSS) and carpal tunnel syndrome-symptom severity score (CTS-SSS). Operation time, incision length and complications of the two techniques were noted and compared.

Results: The age, sex distribution, distribution of sides, and complaint period were not significant (p > 0.05) between the groups. The preoperative or postoperative CTS-SSS and CTS-FSS values did not differ significantly (p > 0.05). Incision length, time to return to work and return to daily life in the OCTR group was significantly higher than the ECTR group (p < 0.05).

Conclusion: ECTR has similar results in terms of symptom relief, severity, functional status, pillar pain and complication rates compared to OCTR. However, it has the advantages of early return to daily life, early return to work and less incision length.

doi: https://doi.org/10.12669/pjms.35.6.967

How to cite this:
Gurpinar T, Polat B, Polat AE, Carkci E, Kalyenci AS, Ozturkmen Y. Comparison of open and endoscopic carpal tunnel surgery regarding clinical outcomes, complication and return to daily life: A prospective comparative study. Pak J Med Sci. 2019;35(6):1532-1537. doi: https://doi.org/10.12669/pjms.35.6.967

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published
2019-10-05
Section
Original Articles