Functional clinical outcomes of patients performed with endoscopy assisted carpal tunnel release
2021
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Advisor: Prof. Dr. Kadir Ertem
Abstract (EN)
Functional Clinical Outcomes of Patients Performed with Endoscopy Assisted Carpal Tunnel Release Introduction: Endoscopy-assisted carpal tunnel release surgery has become widespread in carpal tunnel release surgery since the 90s. The hypothesis that a similar rate of nerve damage may occur in endoscopy-assisted carpal tunnel release surgery has been advocated. It has been hypothesized that there is a smaller scar on the wrist, painless and faster recovery time. Purpose: To see whether there is a positive change in the scores and satisfaction scores of our endoscopy-assisted surgery, to reveal the effect of variables (age, gender, occupation, duration of surgery, etc.) on the results of endoscopy-assisted carpal tunnel release surgery, The aim of this study is to compare the post-operative conditions with their pre-operative conditions, to compare the results of endoscopy-assisted carpal tunnel surgery with the literature, and to see whether there are numerical superiorities of those who underwent endoscopy-assisted surgery compared to those who underwent open surgery in the literature. Also, to see if the scorings we use are correlated with each other. Method: In this study, patients who underwent endoscopy-assisted carpal tunnel release surgery for carpal tunnel syndrome between 2012 and 2017 were screened. 25 patients were obtained. The demographic characteristics of these patients were determined. Preoperative and postoperative scores of these patients were recorded. The satisfaction levels of the patients were recorded. The patients' return to work time was recorded. Surgical times were recorded. In the light of these, it was compared whether the scores were correlated with each other, whether the effect of age on surgical results was compared, and the numerical results and complication rates of endoscopy-assisted carpal tunnel release surgery were compared with the literature. Results: Our endoscopy-assisted carpal tunnel release surgery has made a positive change in satisfaction scores. When we compared our endoscopy-assisted carpal tunnel release surgery with the literature, similar results were obtained, and the complication rates were lower than the literature. The pre- and postoperative values of the scores we used were correlated with each other. Discussion: Endoscopy-assisted carpal tunnel release surgery is an effective treatment method in carpal tunnel syndrome. Clinically, the results are similar to other methods. Problems such as infection, hematoma, scar tenderness, and scarring are lower in this method. The risk of median nerve damage, which is one of the feared complications when performed by experienced hands, is similar to other methods. Keywords: Carpal Tunnel Syndrome, Endoscopy Assisted Carpal Tunnel Surgery, Median Nerve
Author
Dr. Ahmet Sağır
How to Cite
Ahmet Sağır (Medical Specialty Thesis). Functional clinical outcomes of patients performed with endoscopy assisted carpal tunnel release, 2021, İnönü University.
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