Complications and outcome in open carpal tunnel release. A 6-year follow-up in 92 patients
(1999) In Annales de Chirurgie de la Main et du Membre Superieur 18(2). p.115-121- Abstract
In this retrospective study, 92 patients (83% attendance rate) were examined 6 years after open carpal tunnel release. A questionnaire was answered by the patient and a physical examination was made by an independent observer. Five complications were found, of which 4 were early postoperative problems and one was a major complication with long-term disability. In one third of the patients numerous complaints were noted even after six years. Recurrences were found in 9 cases. No lacerations of nerves, tendons or vessels were seen and no patient developed reflex sympathetic dystrophy. The overall subjective outcome showed that 91% of the patients were free of symptoms or improved. The grip strength at follow-up was reduced, if the... (More)
In this retrospective study, 92 patients (83% attendance rate) were examined 6 years after open carpal tunnel release. A questionnaire was answered by the patient and a physical examination was made by an independent observer. Five complications were found, of which 4 were early postoperative problems and one was a major complication with long-term disability. In one third of the patients numerous complaints were noted even after six years. Recurrences were found in 9 cases. No lacerations of nerves, tendons or vessels were seen and no patient developed reflex sympathetic dystrophy. The overall subjective outcome showed that 91% of the patients were free of symptoms or improved. The grip strength at follow-up was reduced, if the symptoms had been present for more than 12 months, as compared to less than 12 months, (p=0.009) and when associated, unspecific brachialgia had been present (p=0.02). NO differences were found in conjunction with the operating surgeon being either an orthopaedic resident or a specialist in hand surgery. In conclusion, open carpal tunnel release had a subjectively favourable outcome, but due to complications and postoperative complaints, further investigations into alternative techniques seem necessary.
(Less)
- author
- Lindau, T. and Karlsson, M. K. LU
- organization
- publishing date
- 1999-01-01
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Carpal tunnel syndrome, Complications, Outcome
- in
- Annales de Chirurgie de la Main et du Membre Superieur
- volume
- 18
- issue
- 2
- pages
- 115 - 121
- publisher
- Expansion Scientifique
- external identifiers
-
- scopus:0032807439
- pmid:10855309
- ISSN
- 0753-9053
- DOI
- 10.1016/S0753-9053(99)80064-7
- language
- English
- LU publication?
- yes
- id
- a306a9fc-fef0-4fac-85c3-bdd447eba33d
- date added to LUP
- 2019-05-21 19:28:06
- date last changed
- 2024-01-01 06:24:25
@article{a306a9fc-fef0-4fac-85c3-bdd447eba33d,
abstract = {{<p>In this retrospective study, 92 patients (83% attendance rate) were examined 6 years after open carpal tunnel release. A questionnaire was answered by the patient and a physical examination was made by an independent observer. Five complications were found, of which 4 were early postoperative problems and one was a major complication with long-term disability. In one third of the patients numerous complaints were noted even after six years. Recurrences were found in 9 cases. No lacerations of nerves, tendons or vessels were seen and no patient developed reflex sympathetic dystrophy. The overall subjective outcome showed that 91% of the patients were free of symptoms or improved. The grip strength at follow-up was reduced, if the symptoms had been present for more than 12 months, as compared to less than 12 months, (p=0.009) and when associated, unspecific brachialgia had been present (p=0.02). NO differences were found in conjunction with the operating surgeon being either an orthopaedic resident or a specialist in hand surgery. In conclusion, open carpal tunnel release had a subjectively favourable outcome, but due to complications and postoperative complaints, further investigations into alternative techniques seem necessary.</p>}},
author = {{Lindau, T. and Karlsson, M. K.}},
issn = {{0753-9053}},
keywords = {{Carpal tunnel syndrome; Complications; Outcome}},
language = {{eng}},
month = {{01}},
number = {{2}},
pages = {{115--121}},
publisher = {{Expansion Scientifique}},
series = {{Annales de Chirurgie de la Main et du Membre Superieur}},
title = {{Complications and outcome in open carpal tunnel release. A 6-year follow-up in 92 patients}},
url = {{http://dx.doi.org/10.1016/S0753-9053(99)80064-7}},
doi = {{10.1016/S0753-9053(99)80064-7}},
volume = {{18}},
year = {{1999}},
}