Gutiérrez-Monclus Rodrigo G, Gutiérrez-Espinoza Hector J, Flores-Astudillo Alvaro R, Lluch-Homedes Alberto L, Aguirre-Jerez Marcela
1 Hand Team Orthopedist, Instituto Traumatologico, Santiago, Chile.
2 School of Kinesiology, Universidad de las Americas, Santiago, Chile.
J Hand Surg Eur Vol. 2018 Mar;43(3):303-309. doi: 10.1177/1753193417730260. Epub 2017 Sep 11.
The objective of this study is to compare the clinical effectiveness of two surgical techniques in patients with severe unilateral idiopathic carpal tunnel syndrome. A total of 117 patients were randomized in two groups. In the experimental group ( n = 59) reconstruction of the transverse carpal ligament was performed after open retinaculum release (TCL reconstruction group). In the control group ( n = 58) only retinaculum release was performed (TCL release group). The primary outcome measure was grip strength; secondary outcome measures were pain and response to the Boston questionnaire. Significance was analysed using the t-test or Mann-Whitney test. At 6 months, the experimental group showed clinical and statistically significant improvement in grip strength and decrease in symptom severity. Retinaculum release with reconstruction of the transverse carpal ligament results in improvement of grip strength in the medium term when compared with open retinaculotomy in patients with severe unilateral idiopathic carpal tunnel syndrome.
II.
本研究的目的是比较两种手术技术对重度单侧特发性腕管综合征患者的临床疗效。总共117例患者被随机分为两组。实验组（n = 59）在切开支持带松解后进行腕横韧带重建（腕横韧带重建组）。对照组（n = 58）仅进行支持带松解（腕横韧带松解组）。主要结局指标是握力；次要结局指标是疼痛和对波士顿问卷的反应。使用t检验或曼-惠特尼检验分析显著性。6个月时，实验组在握力方面显示出临床和统计学上的显著改善，症状严重程度降低。与重度单侧特发性腕管综合征患者的切开支持带松解术相比，腕横韧带重建的支持带松解术在中期可改善握力。
II级。
