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- Title
Basal joint arthroplasty and carpal tunnel release comparing a single versus double incision: a prospective randomized study.
- Authors
Esteban-Feliu, Ignacio; Gallardo-Calero, Irene; Barrera-Ochoa, Sergi; Vidal-Tarrasón, Núria; Mir, Xavier; Lluch-Bergadà, Alejandro
- Abstract
Purpose: Basal thumb joint osteoarthritis frequently coexists with carpal tunnel syndrome. The two conditions have traditionally been treated surgically through separate incisions. We sought to determine whether carpal tunnel release using a single incision during basal joint arthroplasty is as effective as a two-incision approach in patients with concomitant carpal tunnel syndrome and basal thumb joint osteoarthritis. Methods: For this purpose, 40 patients were randomly allocated to either a single-incision or double-incision approach, all of whom completed the full follow-up period. The Boston Carpal Tunnel Questionnaire, QuickDASH, and a 10-point visual analog scale pain-severity rating were obtained from patients 3, 6 and 12 months post-operatively. Results: The two treatment groups experienced comparable, progressive improvement in all symptom-, function-, and pain-related outcomes, with mean surgery time significantly shorter with the single-incision approach, and four versus zero patients in the double-incision group developing pillar pain (p = 0.035). Conclusions: Concomitant basal thumb joint osteoarthritis and carpal tunnel syndrome might be effectively performed through a single-incision approach, potentially avoiding any morbidity classically associated with a second incision. Level of evidence: Level II/Therapeutic Study. Trial registration: ClinicalTrials.gov: NCT04391751, 04/29/2020, retrospectively registered.
- Subjects
THUMB surgery; CARPAL tunnel syndrome; ARTHROPLASTY; HAND surgery; TREATMENT effectiveness; RANDOMIZED controlled trials; FRACTURE fixation; QUESTIONNAIRES; STATISTICAL sampling; LONGITUDINAL method
- Publication
European Journal of Orthopaedic Surgery & Traumatology, 2022, Vol 32, Issue 7, p1391
- ISSN
1633-8065
- Publication type
Article
- DOI
10.1007/s00590-021-03086-x