Comparison of the results of cutting the transverse carpal ligament and cutting the transversed carpal ligament and antebracial facia together in carpal tunnel syndrome surgery performed with standard incision

OBJECTIVE: This study aimed to compare the clinical outcomes of patients operated on for carpal tunnel syndrome, in the group in which only the transverse carpal ligament was cut during surgery and the group in which the transverse carpal ligament and antebrachial fascia were cut together. METHODS: Patients who were operated on due to carpal tunnel syndrome between 2018 and 2023 were retrospectively scanned. Patients in whom only the transfer carpal ligament was cut were included in the first group. Patients formed by the addition of the antebrachial fascia in addition to the transverse carpal ligament were included in the second group. Age, gender, side and clinical results of the patients were compared statistically. RESULTS: A total of 50 patients participated in the study, 2 (8.0%) men and 23 (92%) women in each group. The average age of the patients in the first group was 55.84±12.43, and the average age of the patients in the second group was 57.20±7.96. A correlation was detected between the ages of the patients in both group 1 and group 2 and the PEM, Mayo and Boston evaluation results. No statistically significant difference was detected between the operated side of Group1 and Group2 patients and Mayo, Pem and Boston (postop) scale values. The side on which the surgery is performed has no effect on patient satisfaction. Clinically, no statistically significant difference was detected between Mayo, PEM and Boston (postop) values in comparisons between groups. A statistically significant difference was detected between the time elapsed after surgery and Mayo, PEM and Boston (postop) scale values of group 1 and group 2 patients. . The time elapsed after surgery has a positive effect on patient satisfaction. . CONCLUSION: In carpal tunnel syndrome surgery performed with a standard incision, there is no significant difference in terms of clinical results between cutting only the transverse carpal ligament and cutting the transverse carpal ligament and antebrachial fascia together. While it was observed that the time elapsed after the surgery had an effect on patient satisfaction, the side where the surgery was performed and the age of the patient had no effect on patient satisfaction. It is thought that if the palmar cutaneous branch of the median nerve is injured during this procedure, it would be more appropriate to cut the antebrachial fascia as well as the transverse carpal ligament. KEYWORDS: Carpal Tunnel Syndrome, Transverse Carpal Ligament,Antebrachial Fascia, Incision,