Endoskopik karpal tünel gevşetme: Chow tekniği ve erken dönem klinik sonuçları
Küçük Resim Yok
Tarih
2003
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Karpal tünel sendromlu hastalarda endoskopik karpal tünel gevşetme cerrahisinin klinik sonucları değerlendirildi. Çalışma planı: Yirmi hastanın (16 kadın, 4 erkek; ort yas, 50; dağılım 30-65) 26 eline Chow tarafından tanımlanan endoskopik karpal tünel gevşetme cerrahisi uygulandı. Hastaların klinik ve elektromiyografik değerlendirmeleri karpal tünel sendromu ile uyumlu idi. Hastalar ortalama 13.2 ay (dagilim 3-28 ay) süreyle izlendi. Sonuclar: Tüm olgularda klinik ve elektromiyografik düzelme sağlandı. Komplikasyon olarak, izlem sirasinda bir olguda yüzeyel enfeksiyon, üc olguda digital sinir noropraksisi gelişti. Hastalar ortalama 22.5 günde işlerine dönebildiler. Ameliyat yerinde insizyon ağrısi ve skar hassasiyeti görülmedi. Yirmi dort elde (%92) çok iyi ve iyi sonuc alındı. Çıkarımlar: Endoskopik karpal tünel gevşetme ameliyatı, iyi bir endoskopik anatomi ve yeterli tecrübe ile uygulandığında düşük komplikasyon oranı, günlük yaşantı ve işe erken dönüş ve daha az morbidite ile karpal tünel sendromu tedavisinde iyi bir seçenektir.
Objectives: We evaluated the clinical results of endoscopic carpal ligament release in patients with carpal tunnel syndrome. Methods: Twenty-six hands of 20 patients (16 females, 4 males; mean age 50 years; range 30 to 65 years) underwent endoscopic carpal ligament release according to the technique described by Chow. Clinical and electromyographic findings were compatible with carpal tunnel syndrome. The mean follow-up period was 13.2 months (range 3 to 28 months). Results: Clinical and electromyographic improvement was obtained in all patients. Complications included superficial wound infection in one patient and neuropraxia of the digital nerve in three patients. The mean time to return to work was 22.5 days. No incision-site pain or localized scar sensitivity were noted. Excellent or good results were achieved in 24 hands (92%). Conclusion: With a good knowledge of endoscopic anatomy and adequate experience, endoscopic carpal ligament release is an appropriate alternative in the treatment of carpal tunnel syndrome, resulting in lower complication rates, early return to daily activities and work, and a lower morbidity.
Objectives: We evaluated the clinical results of endoscopic carpal ligament release in patients with carpal tunnel syndrome. Methods: Twenty-six hands of 20 patients (16 females, 4 males; mean age 50 years; range 30 to 65 years) underwent endoscopic carpal ligament release according to the technique described by Chow. Clinical and electromyographic findings were compatible with carpal tunnel syndrome. The mean follow-up period was 13.2 months (range 3 to 28 months). Results: Clinical and electromyographic improvement was obtained in all patients. Complications included superficial wound infection in one patient and neuropraxia of the digital nerve in three patients. The mean time to return to work was 22.5 days. No incision-site pain or localized scar sensitivity were noted. Excellent or good results were achieved in 24 hands (92%). Conclusion: With a good knowledge of endoscopic anatomy and adequate experience, endoscopic carpal ligament release is an appropriate alternative in the treatment of carpal tunnel syndrome, resulting in lower complication rates, early return to daily activities and work, and a lower morbidity.
Açıklama
Anahtar Kelimeler
Ortopedi
Kaynak
Acta Orthopaedica et Traumatologica Turcica
WoS Q Değeri
Scopus Q Değeri
Cilt
37
Sayı
3
