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30961

Splinting after Carpal Tunnel Surgical Treatment: Does It Really Matter?

Article

Last updated: 24 Dec 2024

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Abstract

Background: Splinting of the wrist after carpal tunnel release (CTR) has been practiced by many surgeons especially in North America. The main reason wasto prevent possible adverse events of bowstringing of flexor tendons and the median nerve, pillar pain, entrapment of the median nerve in scar tissue and wound dehiscence. Studies on the effect of splinting after standard CTR had dismal results. The duration of splinting in standard CTR has been either too long (for 2-4 weeks) or too short (48 hours only). Objective: The aim of our study was to compare the effects of post-operative splinting for duration of one week with no splinting. Patients and Methods: All 20 of our patients underwent a standardized open CTR. Post operatively, they were randomized into a splinted (n=10) and a non-splinted (n=10) group. The splint was kept for 2 weeks. Patients were reviewed at regular intervals of one week, two weeks and three months. At each follow up, these patients were clinically assessed for outcome of the Boston questionnaire. Results: All patients presented with significant improvement in the post-operative evaluation within each group. However, there was no significant difference between the two groups for any of the outcome measurements at sequential and at final follow-up. Conclusion: We concluded that wrist splinting in the immediate post-operative period has no advantage when compared with the non-splinting wrist after a standard open carpal tunnel release.

DOI

10.21608/ejhm.2019.30961

Keywords

Carpaltunnelsyndrome, carpaltunnelrelease, wristsplint, open carpal tunnel release, nerve compression

Authors

First Name

Mohamed Hazem

Last Name

Mahmoud

MiddleName

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Affiliation

Department of Orthopedic Surgery, Faculty of Medicine, Zagazig University

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Orcid

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First Name

Ali Tawfiq

Last Name

El Alfy

MiddleName

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Affiliation

Department of Orthopedic Surgery, Faculty of Medicine, Zagazig University

Email

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City

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Orcid

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First Name

El-Sayed Etewy Ahmed

Last Name

Soudy

MiddleName

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Affiliation

Department of Orthopedic Surgery, Faculty of Medicine, Zagazig University

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City

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Orcid

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First Name

Ahmed Farid Ibrahim

Last Name

el-Molla

MiddleName

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Affiliation

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Email

ahmedfarid111@gmail.com

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Orcid

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Volume

75

Article Issue

3

Related Issue

5284

Issue Date

2019-04-01

Receive Date

2019-04-30

Publish Date

2019-04-01

Page Start

2,447

Page End

2,450

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_30961.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=30961

Order

18

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Splinting after Carpal Tunnel Surgical Treatment: Does It Really Matter?

Details

Type

Article

Created At

22 Jan 2023