RESULT OF SURGERY TREATMENT OF SEVERE AND VERY SEVERE CARPAL TUNNEL SYNDROME (CTS)

Dương Đình Toàn1,, Nguyễn Đình Hưng2, Hoàng Văn Ba2
1 Hanoi Medical University
2 Saint Paul Hospital

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Abstract

We performed surgical treatment for 38 patients with 42 hands diagnosed with severe and very severe carpal tunnel syndrome (CTS). Postoperative follow-up time 24 months. Objective:  Evaluated the surgical outcomes for severe and very severe OCT syndrome. Methods: Examination and selection of patients diagnosed with severe and very severe CTS, surgical removal of the transverse ligament to release compression of the median nerve; Monitor and evaluate the results after surgery using the Boston questionaire and clinical tests.  Results: After 24 months of surgery, Boston score from 4.55: points to 2 points, the positive rate with Tinel, Phalen, Durkan tests no longer exists. Symptoms of numbness and tingling are reduced, but muscle atrophy recovers slowly. Conclusion: transverse ligament to release compression of the median nerve in severe and very severe CTS could improves significantly wrist joint function.

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References

1. M.W.Keith et al. American Academy of Orthopaedic Surgeons clinical practice guideline on the treatment of carpal tunnel syndrome. J Bone Joint Surg Am, 2010;92(1): 218-9.
2. Mallick A. Mbbs. Comparing the Outcome of a Carpal Tunnel Decompression at 2 Weeks and 6 Months.J Hand surg, 2007;32 A: 1154- 1158.
3. R. A. Brown, et al. Carpal tunnel release. A prospective, randomized assessment of open and endoscopic methods. J Bone Joint Surg Am, 1993;75(9): 1265-75.
4. Nguyễn Văn Liệu. Nghiên cứu tác dụng phục hồi dẫn truyền dây thần kinh giữa của tiêm Depomedrol vào dây chằng vòng trong điều trị Hội chứng ống cổ tay. Y học thực hành, 2012;824(6): 47-49.
5. Agnes Beng-Hoi Tan Jacqueline Siau Woon Tan. Outcomes of open carpal tunnel releases and its predictors. A prospective study. Hand Surg, 2012. 17(3): 341-345.
6. S. Kohanzadeh, F. A. Herrera, and M. Dobke. Outcomes of open and endoscopic carpal tunnel release: a meta-analysis. Hand (N Y), 2012;27(3): 247-51.
7. Lam Ch. Yeung Sh. Wong Tc. Endoscopic carpal tunnel release: experience of surgical outcome in a Chinese population. Hong Kong Med J, 2010;16(2): 126-131.