J Korean Soc Surg Hand.  2017 Jun;22(2):96-104. 10.12790/jkssh.2017.22.2.96.

Double Minimal Incision Release for Carpal Tunnel Syndrome: A Comparative Study to the Standard Open Technique

Affiliations
  • 1Department of Orthopedic Surgery, Inha University School of Medicine, Incheon, Korea. TJLEE@inha.ac.kr

Abstract

PURPOSE
A minimally invasive surgical technique has been introduced to treat carpal tunnel syndrome that causes less pain, minimal scaring, and a rapid recovery. This study was designed to evaluate the safety and effectiveness of the double minimal incision release compared with the open surgery technique.
METHODS
A study was performed on 175 cases in 111 patients who were operated on for carpal tunnel syndrome from January 2010 to December 2014. The patients were classified into 2 groups according to the type of surgical technique: 82 cases underwent standard open surgery in group A and 93 cases underwent double minimal incision release in group B. Grip strength and postoperative pain were evaluated 4 and 8 weeks and 6 and 12 months after surgery, and the period of numbness and time needed to resume normal activities were investigated.
RESULTS
Group B patients showed better outcomes during the 2 first months after surgery than those of group A patients in numbness, pain, stiffness (p<0.05), less scar pain and tenderness (p<0.001), and shorter time needed to resume normal activities. However, no differences in these parameters were observed between the 2 groups after 6 months (p>0.05).
CONCLUSION
Double minimal incision release offered better clinical outcomes until 2 months after surgery compared to the standard open surgery technique and reduced incipient postoperative pain and allowed for earlier resumption of normal activities.

Keyword

Carpal tunnel syndrome; Minimally invasive surgical procedures

MeSH Terms

Carpal Tunnel Syndrome*
Cicatrix
Hand Strength
Humans
Hypesthesia
Minimally Invasive Surgical Procedures
Pain, Postoperative
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