Outcome of Retinaculotomy for Carpal Tunnel Syndrome

Authors

  • GOHAR ALI Department of Neurosurgery, Bacha Khan Medical College and MTI Mardan Medical Complex
  • ASGHAR ALI Department of Neurosurgery, Bacha Khan Medical College and MTI Mardan Medical Complex
  • MUKHTIAR ALI Department of Neurosurgery, Bacha Khan Medical College and MTI Mardan Medical Complex
  • NAEEM-UL- HAQ Department of Neurosurgery, Bacha Khan Medical College and MTI Mardan Medical Complex
  • SALMAN MUKHTAR Department of Neurosurgery, Bacha Khan Medical College and MTI Mardan Medical Complex

DOI:

https://doi.org/10.36552/pjns.v24i1.399

Keywords:

Retinaculotomy, Carpal Tunnel Syndrome, Mini Technique Carpal Tunnel, Phalen’s Sign

Abstract

Objective: To evaluate the results of a minimally invasive technique performed for the most prevalent disease
which is not dependent on sophisticated instrumentation and results in early return to work.
Material and Methods: A total of 52 patients was operated and included in the study. The record of these
patients was collected on specified proforma.We used the retinaculotomy method performed by 3 surgeons of the same competence level.
Results: Total number of patients operated was 52 Male 8 (15%) Female 44 (85%). A total of 48 (92%) patients
improved (by 4th week in terms of VAS from 6 to 1 or 0). 9% of patients had scar tenderness which improved by 4th week in 100 % patients. Almost all the patients resumed their daily life activities by 4th week.
Conclusion: It was concluded from this study that using the mini technique of retinaculotomy the complications
associated with the use of the classic open technique can be avoided and patients successfully treated can have an early return to their normal daily life activities.

References

1. Georgi PG, Vesselin K, Martin A. Orthopaedic Surgery for Carpal Tunnel Syndrome. Clin Surg. 2018; 3: 2245.
2. Chin, et al. The mini incision technique for carpal tunnel release. Medicine (Baltimore), 2017; 96 (31):
2627.
3. Alves MP, Transverse mini-incision for carpal tunnel release. Acta Ortop Bras [Online], 2011; 19 (6): 362-7.
4. Khan, et al. Outcome of open carpal tunnel release surgery: J Ayub Med College, Abbottabad, 2015; 27(3).
5. Aboonq MS. Pathophysiology of carpal tunnel syndrome. Neurosciences (Riyadh, Saudi Arabia),
2015; 20 (1): 4–9.

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Published

2020-04-11

Issue

Vol. 24 No. 1 (2020): January-March

Section

Original Articles

License

The work published by PJNS is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). Copyrights on any open access article published by Pakistan Journal of Neurological Surgery are retained by the author(s).