Türk Nöroşirürji Dergisi 2014 , Vol 24 , Num 3
The Evaluation of Two Different Mini Incisions Distal and Proximal to the Pillar on Functional Outcomes in the Surgical Treatment of Carpal Tunnel Syndrome
İbrahim Burak ATCI, Serdal ALBAYRAK
Elazığ Eğitim ve Araştırma Hastanesi, Nöroşirürji Servisi, Elazığ, Türkiye AIM: The surgical results of two diff erent mini incision methods for carpal tunnel syndrome were evaluated.

MATERIAL and METHODS: 70 patients with carpal tunnel syndrome operated on at Elazig Education and Research Hospital between 1/10/2010 and 1/12/2013 were included in this study. Mini incisions were made proximal to the pillar region in 35 patients and distal to the pillar region in another 35 patients to release the carpal tunnel region. Patients were evaluated retrospectively with the patient satisfaction questionnaire and the Boston scale.

RESULTS: Statistical improvements were seen with the patient satisfaction questionnaire and the Boston scale (p<0.05). In Group 1, the wound tenderness in 5 patients and night pain and paresthesia in 3 patients continued at the end of the 6th month. In Group 2, wound tenderness and pain continued at the end of the 6th month in 1 patients. There was no complication related to the motor nerve and the common palmar digital nerve.

CONCLUSION: Mini open surgery should be preferred as it is inexpensive, there is less scar formation and wound tenderness and recovery to active life is rapid. A surgical microscope should be used as necessary to prevent inadequate decompression, nerve injury and poor view. Anahtar Kelimeler : Carpal tunel syndrome, Mini incision, Pillar region