Endoscopic versus open carpal tunnel release (Journal article)

Vasiliadis, H. S./ Xenakis, T. A./ Mitsionis, G./ Paschos, N./ Georgoulis, A.

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dc.contributor.authorVasiliadis, H. S.en
dc.contributor.authorXenakis, T. A.en
dc.contributor.authorMitsionis, G.en
dc.contributor.authorPaschos, N.en
dc.contributor.authorGeorgoulis, A.en
dc.rightsDefault Licence-
dc.subjectAmbulatory Surgical Procedures/methodsen
dc.subjectAnalgesics/therapeutic useen
dc.subjectAnti-Inflammatory Agents/therapeutic useen
dc.subjectCarpal Tunnel Syndrome/drug therapy/*surgeryen
dc.subjectCombined Modality Therapyen
dc.subjectDecompression, Surgical/*methodsen
dc.subjectDiscrimination (Psychology)en
dc.subjectFollow-Up Studiesen
dc.subjectHand Strengthen
dc.subjectMiddle Ageden
dc.subjectNeural Conductionen
dc.subjectPain, Postoperative/epidemiology/prevention & controlen
dc.subjectReaction Timeen
dc.subjectRecovery of Functionen
dc.subjectTreatment Outcomeen
dc.titleEndoscopic versus open carpal tunnel releaseen
heal.type.enJournal articleen
heal.type.elΆρθρο Περιοδικούel
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.abstractPURPOSE: This study compared endoscopic carpal tunnel release with the conventional open technique with respect to short- and long-term improvements in functional and clinical outcomes. METHODS: We assessed 72 outpatients diagnosed with carpal tunnel syndrome. Of these patients, 37 underwent the endoscopic method according to Chow and 35 were assigned to the open method. Improvement in symptoms, severity, and functionality were evaluated at 2 days, 1 week, 2 weeks, and 1 year postoperatively. Changes in clinical outcomes were evaluated at 1 year postoperatively. Complications were also assessed. RESULTS: Both groups showed similar improvement in all but 1 outcome 1 year after the release; increase in grip strength was significantly higher in the endoscopic group. However, the endoscopic method showed a greater improvement in symptoms and functional status compared with the open method at 2 days, 1 week, and 2 weeks postoperatively. Separate analysis of the questions referring to pain showed that the delay in improvement in the open group was because of the persistence of pain for a longer period. Paresthesias and numbness decrease immediately after the operation with comparable rates for both groups. CONCLUSIONS: Endoscopic carpal tunnel release provides a faster recovery to operated patients for the first 2 weeks, with faster relief of pain and faster improvement in functional abilities. Paresthesia and numbness subside in an identical manner with the 2 techniques. At 1 year postoperatively, both open and endoscopic techniques seem to be equivalently efficient.en
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά)

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