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Multicenter randomized trial of carpal tunnel release with ultrasound guidance versus mini-open technique.
- Source :
- Expert Review of Medical Devices; Jul2023, Vol. 20 Issue 7, p597-605, 9p
- Publication Year :
- 2023
-
Abstract
- Comparative studies of carpal tunnel release with ultrasound guidance (CTR-US) vs. mini-open CTR (mOCTR) are limited, prompting development of this randomized trial to compare efficacy and safety of these techniques. Patients were randomized (2:1) to CTR-US or mOCTR, treated by experienced hand surgeons (median previous cases: 12 CTR-US; 1000 mOCTR), and followed for 3 months. Among 149 randomized patients, 122 received CTR-US (n = 94) or mOCTR (n = 28). Mean incision length was 6 ± 2 mm in the wrist (CTR-US) vs. 22 ± 7 mm in the palm (mOCTR) (p < 0.001). Median time to return to daily activities (2 vs. 2 days; p = 0.81) and work (3 vs. 4 days; p = 0.61) were similar. Both groups reported statistically significant and clinically important improvements in Boston Carpal Tunnel Questionnaire Symptom Severity and Functional Status Scales, Numeric Pain Scale, and EuroQoL-5 Dimension 5-Level, with no statistical differences between groups. Freedom from wound sensitivity and pain favored CTR-US (61.1% vs. 17.9%; p < 0.001). Adverse event rates were low in each group (2.1% vs. 3.6%; p = 0.55). The efficacy and safety of CTR-US were comparable to mOCTR despite less previous surgical experience with CTR-US. The choice of CTR technique should be determined by shared decision-making between patient and physician. identifier is NCT05405218. [ABSTRACT FROM AUTHOR]
- Subjects :
- ULTRASONIC imaging
SURGEONS
CARPAL tunnel syndrome
Subjects
Details
- Language :
- English
- ISSN :
- 17434440
- Volume :
- 20
- Issue :
- 7
- Database :
- Complementary Index
- Journal :
- Expert Review of Medical Devices
- Publication Type :
- Academic Journal
- Accession number :
- 164367357
- Full Text :
- https://doi.org/10.1080/17434440.2023.2218548