How do endoscopic and open release during surgery for carpal tunnel syndrome compare?

Burch, Jane; Ahn, Jaimo

doi:10.1002/cca.718

Cited by 1 publication

(5 citation statements)

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“…Overall, patients who receive ECTR tend to experience earlier recovery of grip strength, less scar tenderness, and an average of 8 days faster return to work. These results are highly variable with return to work reported between 7 and 28 days for unilateral ECTR 5,7 and 18 and 46 days for bilateral ETCR. [4][5][6][7][8][9][10][11][12][13][14][15][16] This study investigated length of recovery for patients undergoing bilateral simultaneous ECTR with an emphasis on preoperative counseling of patients' recovery expectations.…”

Section: Discussionmentioning

confidence: 95%

“…These results are highly variable with return to work reported between 7 and 28 days for unilateral ECTR 5,7 and 18 and 46 days for bilateral ETCR. [4][5][6][7][8][9][10][11][12][13][14][15][16] This study investigated length of recovery for patients undergoing bilateral simultaneous ECTR with an emphasis on preoperative counseling of patients' recovery expectations. In theory, a bilateral simultaneous procedure would not only negate the need for an additional operative exposure but also decrease the additive length of recovery of a staged procedure.…”

Section: Discussionmentioning

confidence: 95%

“…15 Methods to improve recovery time and patient morbidity have been adapted to include minimal incision open technique and ECTR, and multiple meta-analyses of randomized controlled trials have been conducted to assess the overall difference between OCTR and ECTR. 5,7,9 Most of these previous studies have assessed single-stage carpal tunnel release and have large variance in study protocol and results. Overall, patients who receive ECTR tend to experience earlier recovery of grip strength, less scar tenderness, and an average of 8 days faster return to work.…”

Section: Discussionmentioning

confidence: 99%

“…Overall, meta-analysis of studies has been heterogeneous but shows return to work an average of 8 days earlier than open carpal tunnel release (OCTR). 5-10…”

Section: Introductionmentioning

confidence: 99%

“…Overall, meta-analysis of studies has been heterogeneous but shows return to work an average of 8 days earlier than open carpal tunnel release (OCTR). [5][6][7][8][9][10] Although ECTR has been shown to have an overall quicker return to work than OCTR, few studies have investigated return to activities after bilateral simultaneous ECTR. 6,8,11 Potential benefits of bilateral simultaneous ECTR include less cumulative recovery days, only 1 anesthesia event, and decreased health care cost.…”

Section: Introductionmentioning

confidence: 99%

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Return to Activities After Simultaneous Bilateral Endoscopic Carpal Tunnel Release

Hein

Hollins

Fletcher

et al. 2020

Hand (New York, N,Y.)

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Background Approximately 56% of patients diagnosed with carpal tunnel syndrome present with bilateral symptoms; however, few studies have investigated bilateral simultaneous endoscopic carpal tunnel release (ECTR) and postoperative effect on return to activity. The purpose of this study was to evaluate the length of recovery in patients who received bilateral simultaneous ECTR, including pain medication requirements, return to activities of daily living, return to work, and return to recreational activities. Methods A retrospective analysis was performed on patients who underwent bilateral ECTR by a single hand fellowship–trained surgeon from 2013 to 2019. Demographic, operative, and clinical outcomes were collected via chart review and a telephone interview. Student t tests and χ2 tests were conducted for analysis. Results Eighty patients were included in the study; 40 were successfully contacted for telephone interview follow-up. Patients reported an average of 2 days of use of postoperative narcotic pain medication and an average of 5, 7, and 19 days of return to activities of daily living, work, and recreational activities, respectively. Female patients reported more days of narcotic pain medications (1 day vs 3 days, P = .0483) and an average of longer return to work than men (9 days vs 5 days, P = .0477). Manual laborers reported longer return to work (9 days vs 5 days, P = .0500). Older patients (aged >65 years) reported longer return to recreational activities (39 days vs 11 days, P = .0189). Conclusions Simultaneous bilateral ECTR is a successful procedure with shorter recovery times than reported previously. Female patients, manual laborers, and older patients experience a longer recovery and should be counseled appropriately.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

“…Overall, meta-analysis of studies has been heterogeneous but shows return to work an average of 8 days earlier than open carpal tunnel release (OCTR). 5-10…”

Section: Introductionmentioning

confidence: 99%