Bury T F, Akelman E, Weiss A P
Department of Plastic Surgery, Baylor College of Medicine, Houston, TX, USA.
Ann Plast Surg. 1995 Jul;35(1):19-22. doi: 10.1097/00000637-199507000-00004.
To determine the possible beneficial effect of postoperative splint immobilization after open carpal tunnel release, we performed a prospective, randomized study comparing 2 weeks of postoperative wrist splinting versus a bulky dressing only. Forty patients with 43 carpal tunnel releases were evaluated. There were no statistically significant differences between the two groups using subjective parameters of patient satisfaction with their outcome and objective parameters of grip and lateral pinch strength, complication rates, and digital and wrist range of motion. No clinical evidence of bowstringing could be noted in either group of patients. We found no beneficial effect from postoperative splinting after open carpal tunnel release when compared to a bulky dressing alone.
为了确定开放性腕管松解术后使用夹板固定可能产生的有益效果，我们进行了一项前瞻性随机研究，比较术后2周使用腕部夹板与仅使用厚敷料的情况。对40例接受43次腕管松解术的患者进行了评估。在患者对治疗结果的主观满意度参数、握力和侧捏力的客观参数、并发症发生率以及手指和腕关节活动范围方面，两组之间没有统计学上的显著差异。两组患者均未发现弓弦状畸形的临床证据。与单独使用厚敷料相比，我们发现开放性腕管松解术后使用夹板固定没有有益效果。
