Surgical Outcome of Open Carpal Tunnel Release Using Global Symptom Severity Score

  • MUHAMMAD NAWAZ KHAN Department of Neurosurgery, Hayatabad Medical Complex
  • RIAZ-UR- REHMAN Lady Reading Hospital, Peshawar – Pakistan
  • RIZWAN ULLAH KHATTAK Department of Neurosurgery, Hayatabad Medical Complex
  • ATTIYA NASIR SIDDIQUE Department of Neurosurgery, Hayatabad Medical Complex
  • M. ALI NOMAN Department of Neurosurgery, Hayatabad Medical Complex
Keywords: Global Symptom Severity score, Carpal tunnel syndrome, Carpal tunnel release.

Abstract

Objective:  Purpose of conducting this study was to evaluate the surgical outcome of open carpal tunnel release using Global Symptom Severity score (GSS) in our local setting.

Material and Methods:  This prospective analytical study was conducted in the Neurosurgery Department Hayatabad Medical Complex, Peshawar. We operated consecutive 105 Carpal tunnel syndrome cases over a period of 2 years via open carpal tunnel release (OCTR) method. All of these cases were surgically indicated. All patients were evaluated preoperatively with clinical assessment and NCS. Cases were operated under local anesthesia as a day case surgery. Patients were evaluated at 3 months follow-up visit using global symptom severity score (GSS) and compared with pre operative GSS. The paired sample test was applied to obtain p value.

Results:  Total 105 patients were operated during study period. 72 (69%) patients were women and 33 (31%) were men. The mean age of patients was 41 years. 70 (66.66%) procedures were done for the right hand and 35 (33.33%) were performed for left hand. Pre-op Mean GSS score was 27 ± 2.5 which decreased to 2.1 ± 0.43 postoperatively (P < 0.005).

Conclusion:  Carpal tunnel syndrome is more commonly affecting the dominant hand of middle aged females. Open carpal tunnel release procedure is the safe and effective treatment for this compressive neuropathy.

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Published
2020-10-01
Section
Original Article