Muhammad Shafiq, Sania Azmat, Sadaf Rasheed, Anila Rafiq.
Surgical release with limited incision in carpal tunnel syndrome.
Gomal J Med Sci Jan ;14(3):156-9.

Background: Carpal tunnel syndrome has typical clinical presentation. There are two types of surgeries either open or endoscopic procedures. The objective of our study was to know the distribution, risk factors and time of return of our patients to their work. Material & Methods: This case series study was conducted in Department of Orthopedics, Gomal Medical College, D.I.KHAN from June 2013 to June 2015. A sample size of 20 was selected through consecutive sampling technique. Adults of both genders with carpal tunnel syndrome (CTS) in whom conservative treatment has failed were included in the study. Those patients who were medically unfit were excluded. Demographic variable were; gender and age groups. Reserch variables were; side of the hand, duration of symptoms before surgery, duration of revovery of symptoms and wound healing. All variables being categorical were analyzed by frequency and percentages. Descriptive statistics were done through SPSS Version 19. Results: Majority of our patients were female(70%) and the common age group was 36-45 years (55%).The most common presenting symptom was pain(100%) in the hand especially in the radially three and a half fingers. The symptoms relieved within the first month after surgery in our 70% patients and all these 70% joined their pre-surgery activities in 6 weeks .Wound complication occurred in only one patient, otherwise in 95% wound healing completed in 20 days. Conclusion: Carpal tunnel syndrome is common in middle aged females especially right hand. We concluded that this limited incision open surgery give excellent results, regarding early return of patients to their work.

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