Outcomes After Flexor Tenosynovectomy to Treat Recurrent Carpal Tunnel Syndrome: A Prospective Study
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 2
- 主要终点
- Improvement of Symptoms
研究概览
简要总结
The purpose of this study is to collect data on the clinical and functional outcomes of surgical management for recurrent carpal tunnel syndrome (CTS) using flexor tenosynovectomy. It is hypothesized that the outcomes of patients undergoing flexor tenosynovectomy for recurrent CTS will compare favorably to published data regarding alternative types of surgeries for the same condition.
详细描述
Primary carpal tunnel release (CTR) is the most common surgical procedure of the hand, but reported rates of symptom recurrence are not uncommon. Many surgical techniques have been proposed and reported for management of carpal tunnel syndrome (CTS) symptom recurrence, however there is a paucity of data on flexor tenosynovectomy for management of recurrent CTS.
This study will evaluate clinical and functional outcomes using information from pre- and post-operative physical exams, surgery data, patient-reported satisfaction and symptoms, and scores on functional measures, such as the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adult patients (> 18 years)
- •Patient of The Plastic Surgery Group/Hayes Hand Center
- •Previous diagnosis of Carpal Tunnel Syndrome
- •Diagnosis of Recurrent Carpal Tunnel Syndrome
- •Underwent primary carpal tunnel release
- •Undergoing isolated flexor tenosynovectomy as secondary procedure
排除标准
- •Had incomplete primary release of transverse carpal ligament
- •Had documented neuroma upon re-exploration
- •Had other soft tissue tumor within carpal tunnel or providing reasonable contribution to neurologic symptoms
- •Experienced fracture or other traumatic injury to wrist after primary carpal tunnel release
- •Diagnosis of osteomyelitis, infectious tenosynovitis or other infectious etiology to area of interest after primary procedure
- •Diagnosis of rheumatoid arthritis, psoriatic arthritis, or other inflammatory arthropathy
结局指标
主要结局
Improvement of Symptoms
时间窗: one year
'Improvement of symptoms' versus 'No change/worsening of symptoms' of carpal tunnel syndrome following flexor tenosynovectomy. Improvement vs worsening of symptoms determined by subjective physician assessment at one-year follow-up as documented through office dictation in the medical record.
次要结局
- DASH (Disabilities of the Arm, Shoulder, and Hand) score(one year)
- Patient 'satisfaction'(one year)