Carpal Tunnel Release Surgery- A Systematic Review of Open and Endoscopic Approaches

作者: Vwaire Orhurhu , Sebastian Orman , Jacquelin Peck , Ivan Urits , Mariam Salisu Orhurhu

DOI: 10.5812/AAPM.112291

关键词:

摘要: Context: Carpal tunnel syndrome (CTS) is the most frequent peripheral compression-induced neuropathy observed in patients worldwide. Surgery necessary when conservative treatments fail and severe symptoms persist. Traditional Open carpal release (OCTR) with visualization of considered gold standard for decompression. However, Endoscopic (ECTR), a less invasive technique than OCTR emerging as care recent years. Evidence Acquisition: Criteria this systematic review were derived from Preferred Reporting Items Systematic Reviews Meta-Analyses (PRISMA). Two authors searched PubMed, MEDLINE, Cochrane Database May 2018 using following MeSH terms 1993-2016: â��carpal syndrome,' â��median nerve neuropathy,' â��endoscopic release,' surgery,' â��open surgery.' Additional sources, including Google Scholar, added. Also, based on bibliographies consultation experts, appropriate publications identified. The primary outcome measure was pain relief. Results: For analysis, 27 studies met inclusion criteria. Results indicate that ECTR produced superior post-operative outcomes during short-term follow-up. Of meeting criteria 17 evaluated or secondary outcome, 15 pain, pillar tenderness, incision tenderness at Most employed VAS assessment, majority reported intervals ranging one hour up to 12 weeks. Several additional equivalent follow-up early week. No study inferior ECTR. Conclusions: produce satisfactory results relief, symptom resolution, patient satisfaction, time return work, adverse events. There growing body evidence favoring endoscopic functional outcomes, least period, even if difference disappears over time. have demonstrated quicker work activities daily living technique. © 2020, Author(s).

参考文章(37)
R A Brown, R H Gelberman, J G Seiler, S O Abrahamsson, A J Weiland, J R Urbaniak, D A Schoenfeld, D Furcolo, Carpal tunnel release : a prospective, randomized assessment of open and endoscopic methods Journal of Bone and Joint Surgery, American Volume. ,vol. 75, pp. 1265- 1275 ,(1993) , 10.2106/00004623-199309000-00002
Thomas E. Trumble, Edward Diao, Reid A. Abrams, Mary M. Gilbert-Anderson, Single-portal endoscopic carpal tunnel release compared with open release : a prospective, randomized trial. Journal of Bone and Joint Surgery, American Volume. ,vol. 84, pp. 1107- 1115 ,(2002) , 10.2106/00004623-200207000-00003
Andrea D Furlan, Antti Malmivaara, Roger Chou, Chris G Maher, Rick A Deyo, Mark Schoene, Gert Bronfort, Maurits W Van Tulder, None, 2015 updated method guideline for systematic reviews in the Cochrane Back and Neck Group Spine. ,vol. 40, pp. 1660- 1673 ,(2015) , 10.1097/BRS.0000000000001061
Seyit Ali Gümüştaş, Burcu Ekmekçi, Haci Bayram Tosun, Mehmet Müfit Orak, Halil İbrahim Bekler, Similar effectiveness of the open versus endoscopic technique for carpal tunnel syndrome: a prospective randomized trial. European Journal of Orthopaedic Surgery and Traumatology. ,vol. 25, pp. 1253- 1260 ,(2015) , 10.1007/S00590-015-1696-0
James C.Y. Chow, Michael E. Hantes, Endoscopic carpal tunnel release: Thirteen years' experience with the Chow technique Journal of Hand Surgery (European Volume). ,vol. 27, pp. 1011- 1018 ,(2002) , 10.1053/JHSU.2002.35884
Shamsollah Ghahremani, Brachial plexus injury in war victims Journal of Hand Surgery (European Volume). ,vol. 28, pp. 9- ,(2003) , 10.1016/S0363-5023(03)80320-9
N. L. B. SAW, S. JONES, L. SHEPSTONE, M. MEYER, P. G. CHAPMAN, A. M. LOGAN, Early Outcome and Cost-Effectiveness of Endoscopic Versus Open Carpal Tunnel Release: A Randomized Prospective Trial Journal of Hand Surgery (European Volume). ,vol. 28, pp. 444- 449 ,(2003) , 10.1016/S0266-7681(03)00097-4
John M. Agee, H. Relton McCarroll, Richard D. Tortosa, Donald A. Berry, Robert M. Szabo, Clayton A. Peimer, Endoscopic release of the carpal tunnel: A randomized prospective multicenter study Journal of Hand Surgery (European Volume). ,vol. 17, pp. 987- 995 ,(1992) , 10.1016/S0363-5023(09)91044-9
R. S. ROSALES, I. DIEZ DE LA LASTRA, S. MCCABE, J. I. ORTEGA MARTINEZ, Y. M. HIDALGO, The Relative Responsiveness and Construct Validity of the Spanish Version of the Dash Instrument for Outcomes Assessment in Open Carpal Tunnel Release Journal of Hand Surgery (European Volume). ,vol. 34, pp. 72- 75 ,(2009) , 10.1177/1753193408094156
Isam Atroshi, Manfred Hofer, Gert-Uno Larsson, Ewald Ornstein, Ragnar Johnsson, Jonas Ranstam, Open Compared With 2-Portal Endoscopic Carpal Tunnel Release: A 5-Year Follow-Up of a Randomized Controlled Trial The Journal of Hand Surgery. ,vol. 34, pp. 266- 272 ,(2009) , 10.1016/J.JHSA.2008.10.026