Randomized Double-Blind Controlled Trial: Comparison outcomes between Conventional open carpal tunnel release and Mini-open carpal tunnel release

Phase 4

Completed

• Conditions: Carpal tunnel syndrome; Conventional open carpal tunnel release; Mini-open carpal tunnel release; Postoperative pain; Pain score; BCTQ

• Registration Number: TCTR20230703005
• Lead Sponsor: /A

Brief Summary

Based on the results, the mini-open carpal tunnel release technique provides better effectiveness in improving early phase postoperative pain and return to work earlier compared to conventional open carpal tunnel release technique. Meanwhile mini-open carpal tunnel release also provides symptom relief, improves patients symptoms severity scale and functional status scale postoperatively as effective as conventional open carpal tunnel release technique.

Detailed Description

Not available

Study Timeline

• Study Completion: 2023-06-15
• Study Start: 2023-07-03
• Results First Posted: 2024-02-07
• Last Update Posted: 19 August 2024

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

1. Patient with CTS, which the symptoms and disability persisted, not responding to at least 6 weeks duration of conservative treatment.
2. Patient with CTS, which physical examination shown atrophy or weakness of the thenar muscle of the affected hand

Exclusion Criteria

1. Recurrent CTS after prior open carpal tunnel release surgery
2. History of fracture or dislocation around wrist joint of the affected hand
Within 6 weeks after conservative treatment of CTS with steroid injection
3. Pregnant patient
4. Rheumatoid disease patient with evidence of rheumatoid arthritis at the wrist
5. Evidence of disease/syndrome which could cause a double-crush mechanism of the median nerve (ex. Thoracic outlet syndrome, Cervical radiculopathy)
6. Communication difficulties (ex. Cognitive impairment)
7. Not willing to be enrolled in this research
8. Unable to follow up at Police General Hospital

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Pain score First 2 weeks Visual analog score

Secondary Outcome Measures

Name	Time	Method
Symptom severity score 1 month and 5 months Boston carpal tunnel questionnaire ,Functional score 1 month and 5 months Boston carpal tunnel questionnaire