Degeorge B, Coulomb R, Kouyoumdjian P, Mares O
Département de chirurgie orthopédique et traumatologique, chirurgie du rachis, CHU Carémeau, place du Professeur-Robert-Debré, 30029 Nîmes, France.
Département de chirurgie orthopédique et traumatologique, chirurgie du rachis, CHU Carémeau, place du Professeur-Robert-Debré, 30029 Nîmes, France.
Hand Surg Rehabil. 2018 Jun;37(3):175-179. doi: 10.1016/j.hansur.2017.12.006. Epub 2018 Mar 19.
The purpose of this study was to determine the time needed to return to personal and professional activities after bilateral simultaneous endoscopic carpal tunnel release. During a retrospective, single-center study, we included a cohort of 30 patients (60 wrists). Patients were evaluated clinically (pain, paresthesia) and functionally (QuickDASH score) pre- and postoperatively. At the last follow-up, patients completed a questionnaire regarding the time needed to resume personal activities using the ADL scale (feeding, personal hygiene and dressing) and return to work. We also evaluated procedure satisfaction and willingness to undergo the surgery again. The average patient age was 60.5 years (range 39-86). At the last follow-up, average time to resume personal activities was 2.2 days (0-14) for feeding, 4.4 days (0-15) for personal hygiene and 3.9 days (0-14) for dressing. Average time to return to recreational activities was 11.7 days (1-60). Average time to return to work was 36.6 days (15-60). Overall, 97% of patients were satisfied or very satisfied with the outcome. All patients would have the bilateral simultaneous surgery again. Bilateral simultaneous endoscopic carpal tunnel release is rarely performed. For mild conditions, contralateral symptom improvement is common after unilateral surgery. Bilateral simultaneous endoscopic carpal tunnel release appears to be disabling right after surgery, but clinical and functional scores are similar after the third postoperative day. These data can be used for patient education and decision making when considering surgery bilateral carpal tunnel syndrome. Bilateral simultaneous endoscopic carpal tunnel release is a feasible and safe procedure.
Level IV, case series.
本研究的目的是确定双侧同时进行内镜下腕管松解术后恢复个人及职业活动所需的时间。在一项回顾性单中心研究中，我们纳入了30例患者（60只手腕）。对患者在术前和术后进行临床评估（疼痛、感觉异常）和功能评估（QuickDASH评分）。在最后一次随访时，患者完成一份关于使用ADL量表（进食、个人卫生和穿衣）恢复个人活动及重返工作所需时间的问卷。我们还评估了手术满意度以及再次接受该手术的意愿。患者的平均年龄为60.5岁（范围39 - 86岁）。在最后一次随访时，恢复进食的个人活动平均时间为2.2天（0 - 14天），个人卫生为4.4天（0 - 15天），穿衣为3.9天（0 - 14天）。恢复娱乐活动的平均时间为11.7天（1 - 60天）。重返工作的平均时间为36.6天（15 - 60天）。总体而言，97%的患者对结果满意或非常满意。所有患者都愿意再次接受双侧同时手术。双侧同时进行内镜下腕管松解术很少实施。对于轻症患者，单侧手术后对侧症状改善很常见。双侧同时进行内镜下腕管松解术术后似乎立即会导致功能受限，但术后第三天后临床和功能评分相似。这些数据可用于患者教育以及在考虑双侧腕管综合征手术时的决策制定。双侧同时进行内镜下腕管松解术是一种可行且安全的手术。
IV级，病例系列。
