AAHS Annual Meeting
Back to main AAHS site
Annual Meeting Home
Past & Future Meetings


Back to Annual Meeting Posters


Comparison of Short Wrist Transverse Open Incision and Limited Open Incision Techniques for Carpal Tunnel Release
Jae Hoon Lee, MD; Duke Whan Chung, MD
Kyung Hee University Hospital at Gangdong, Seoul, South Korea

Purpose: To evaluate the safety and effectiveness (recovery) of short wrist transverse open incision technique for carpal tunnel release (group B) when compared with a limited open technique (group A).
Methods: The patients who underwent either single distal wrist crease or limited open incision for isolated carpal tunnel syndrome between June 2006 and May 2010 by single surgeon were studied prospectively. The limited open method was performed in 55 hands in 50 patients and the short wrist transverse open method was performed in 45 hands in 42 patients. The patients were routinely evaluated at 2weeks, 6weeks, 3months, and 1Y and 2 years after surgery. At every follow up, Brigham and Women's Carpal Tunnel Questionnaire(BWCTQ), scar pain and subjective patient's satisfaction were evaluated. We performed a minimal transverse incision at the distal crease of the wrist and used a Metzenbaum scissor to divide the flexor retinaculum in group B.
Results: Both groups had similar BWCTQ Symptom Severity and Functional Status Scores, and Subjective satisfaction scores at statistical comparison of postoperative 1 year and 2 years follow-up evaluation. Incidence of the scar pain did not show any significant difference between two groups at the serial postoperative follow up. At last follow up 1 hand in group A reported mild pain and Group B did not have any scar pain. No vascular or neurologic complications were observed in any patients.
Conclusions: Short wrist transverse open & limited open release show similar results in scar pain, clinical, functional results & subjective satisfaction. Therefore, short wrist transverse open release for treating carpal tunnel syndrome might be an acceptable option that has efficacy equal to that of limited open release.


Back to Annual Meeting Posters

 

© 2018 American Association for Hand Surgery. Privacy Policy.