Format

Send to

Choose Destination
Hand Surg Rehabil. 2016 Jun;35(3):199-202. doi: 10.1016/j.hansur.2015.12.012. Epub 2016 Mar 22.

Bilateral carpal tunnel surgery in one operation: Retrospective study.

Author information

1
Service chirurgie de la main, clinique du Diaconat, 2, rue Sainte-Elisabeth, 67000 Strasbourg, France. Electronic address: olivierherisson@hotmail.com.
2
Service chirurgie de la main, clinique du Diaconat, 2, rue Sainte-Elisabeth, 67000 Strasbourg, France. Electronic address: durymartine@aol.com.
3
Service chirurgie de la main, clinique du Diaconat, 2, rue Sainte-Elisabeth, 67000 Strasbourg, France. Electronic address: etiennerapp@wanadoo.fr.
4
Service chirurgie de la main, clinique du Diaconat, 2, rue Sainte-Elisabeth, 67000 Strasbourg, France. Electronic address: marinbraun@gmail.com.

Abstract

Carpal tunnel syndrome is the most common entrapment syndrome. The incidence of a bilateral condition varies between 22% and 87%. The aim of our study was to assess the level of satisfaction and the clinical outcomes in a group of patients operated on through a bilateral neurolysis on the median nerve in the carpal tunnel, in one operating session. This is a retrospective study involving patients with an electromyographic and clinical diagnosis of bilateral carpal tunnel syndrome. Patients were treated on an outpatient basis and the bilateral neurolysis was performed by endoscopy. The postoperative data was collected during consultation by a senior surgeon or during telephone interviews. Patients were asked to respond to a satisfaction questionnaire and the functional outcome was assessed through the Quick-Disabilities of the Arm, Shoulder, and Hand (Quick-DASH) questionnaire. Twenty-nine patients with bilateral carpal tunnel syndrome were operated on in single operating sessions between January 2009 and January 2014. The average follow-up was 46 months. The average age at the time of the intervention was 45 years. Two patients were lost to follow-up, and 27 were able to be assessed. In relation to the clinical and functional outcomes, the average Quick-DASH score was 6.78 (ranges: 0-43.2). Twenty-five patients (92.5%) were satisfied with this simultaneous treatment and 26 patients (96%) would choose the same technique again. One-stage surgery in cases of bilateral carpal tunnel syndrome appears to constitute a benefit for the patient, the surgeon and the anaesthetist, but it is reserved for patients who request it and who are motivated by this type of intervention.

KEYWORDS:

Bilateral carpal tunnel syndrome; Bilateral release; Chirurgie simultanée; Health economy; Neurolyse bilatérale; Simultaneous surgery; Syndrome du canal carpien bilatéral; Économie de santé

PMID:
27740462
DOI:
10.1016/j.hansur.2015.12.012
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center