Akademik Veri Yönetim Sistemi
Hand and Microsurgery, cilt.10, sa.3, ss.260-268, 2021 (TRDizin)
Background: Although carpal tunnel release surgery (CTRS) is a routine surgery, it can cause catastrophic results with incorrect incisions, insufficient release, and frequent recurrences. In this study, we aimed to present the results of the pa- tients who underwent primary and revision CTRS and the pitfalls in surgery in the light of atypical cases. Patients and Methods: Between 2015 and 2020, we analyzed the results of 47 CTRS with 37 primary and ten revision surgeries in the database management system. The clinical and functional results of the patients were reported compara- tively using Electromyography (EMG), visual analog scale (VAS), Boston Carpal Tunnel Syndrome Questionnaire (BCTQ) values in the preoperative and postoperative sixth month. Result: There were significant statistical differences in improvement between the preoperative and postoperative VAS and BCTQ scores of primary and revision cases (p<0.001). Conclusions: CTRS is a surgical procedure that requires physicians to master wrist anatomy and anatomical nerve variations, requires an accurate insertion that provides sufficient vision rather than a limited incision, and requires careful attention.