Hypothenar fat pad flap vs conventional open release in primary carpal tunnel syndrome: A randomized controlled trial
| Autor: | Sorasak Suppaphol, Wilarat Wairojanakul, Thitiporn Phakdepiboon, Thepparat Kanchanathepsak, Ittirat Watcharananan, Tulyapruek Tawonsawatruk |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Open release Fat pad law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law medicine Carpal tunnel release Orthopedics and Sports Medicine Carpal tunnel syndrome 030222 orthopedics medicine.diagnostic_test business.industry Nerve conduction study musculoskeletal system medicine.disease Surgery body regions Hypothenar fat pad flap Randomized Controlled Trial business 030217 neurology & neurosurgery |
| Zdroj: | World Journal of Orthopedics |
| ISSN: | 2218-5836 |
| DOI: | 10.5312/wjo.v8.i11.846 |
| Popis: | AIM To compared outcomes between the hypothenar fat pad flap (HTFPF) and conventional open carpal tunnel release (COR) in primary carpal tunnel syndrome (CTS). METHODS Forty-five patients (49 hands) were enrolled into the study from January 2014 to March 2016, 8 patients were excluded. Randomization was conducted in 37 patients (41 hands) by computer generated (Block of four randomization) into COR and HTFPF group. Nerve conduction study (NCS) included distal sensory latency (DSL), distal motor latency (DML), sensory amplitude (S-amp), motor amplitude (M-amp) and sensory nerve conduction velocity (SCV) were examined at 6 and 12 wk after CTR. Levine score, grip and pinch strength, pain [visual analog scale (VAS)], 2-point discrimination (2-PD), Semmes-Weinstein monofilament test (SWM), Phalen test and Tinel’s sign were evaluated in order to compare treatment outcomes. RESULTS The COR group, 19 patients (20 hands) mean age 50.4 years. The HTFPF group, 20 patients (21 hands) mean age 53.3 years. Finally 33 patients (36 hands) were analysed, 5 patients were loss follow-up, 17 hands in COR and 19 hands in HTFPF group. NCS revealed significant difference of DSL in HTFPF group at 6 wk (P < 0.05) compared with the COR group. S-amp was significant improved postoperatively in both groups (P < 0.05) but not significant difference between two groups. No significant difference of DML, M-amp and SCV postoperatively in both groups and between two groups. Levine score, pain (VAS), grip and pinch strength, 2-PD, SWM, Phalen test and Tinel’s sign were improved postoperatively in both groups, but there was no significant difference between two groups. CONCLUSION There is no advantage outcome in primary CTS for having additional HTFPF procedure in CTR. COR is still the standard treatment. Nevertheless, improvement of DSL and S-amp could be observed at 6 wk postoperatively. |
| Databáze: | OpenAIRE |
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