Return to Activities After Simultaneous Bilateral Endoscopic Carpal Tunnel Release.

Autor:	Hein RE; Duke University Medical Center, Durham, NC, USA., Hollins AW; Duke University Medical Center, Durham, NC, USA., Fletcher AN; Duke University Medical Center, Durham, NC, USA., Ruch DS; Duke University Medical Center, Durham, NC, USA., Richard MJ; Duke University Medical Center, Durham, NC, USA., Mithani SK; Duke University Medical Center, Durham, NC, USA.
Jazyk:	angličtina
Zdroj:	Hand (New York, N.Y.) [Hand (N Y)] 2022 Jul; Vol. 17 (4), pp. 646-651. Date of Electronic Publication: 2020 Sep 17.
DOI:	10.1177/1558944720940061
Abstrakt:	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 χ 2 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.
Databáze:	MEDLINE
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