Azad YILDIRIM, Ahmet KAPUKAYA, Şehmus YİĞİT, RAMAZAN ATİÇ, Yılmaz MERTSOY, Mehmet Akif ÇAÇAN

Karpal tünel sendromlu hastalarda mini açık yaklaşım sonuçlarımız

Amaç: Bu çalışmamızda Karpal tünel sendromu (KTS) nedeniyle mini açık yöntemle cerrahi gevşetme uyguladı- ğımız hastaların sonuçlarını ve cerrahi tekniği değerlendirmeyi amaçladık. Yöntemler: KTS nedeni ile 2009- 2013 tarihleri arasında mini açık cerrahi tedavi uygulanıp sonrasında ulaşılabilen 42 hastanın 50 el bileği geriye dönük olarak incelendi. Cerrahi sonrası hastalar ortalama 47.4 ay izlendi. Hastaların 26 ınde sağ elde, 10 unda sol elde, yedisinde her iki elde KTS saptandı. Ameliyat öncesi hastaların 27sinde ileri, 21 inde orta, ikisinde hafif KTS ile uyumlu elektromiyografik bulgular saptandı. Bulgular: Ameliyat sonrası hiçbir hastada skar dokusu üzerinde hassasiyet görülmezken, hiçbir hastamıza ikinci bir operasyon uygulamadık. Hiçbir hastada ameliyat esnasında nörovasküler hasar olmadı. Ameliyat sonrası hastalar ortalama 10. günde [dağılım 7-15 gün] günlük aktivitelerine geri döndüler. İzlemlerinde hastalara rutin olarak EMG istemi yapılmadı. Hastalar klinik olarak takip edildiler. Sonuçlar: Pillar üstü mini insizyon ile yaptığımız cerrahi işlemin diğer tekniklere göre avantajı, pillar bölge ağrı- sının ve skar hassasiyetinin az olması, işe dönüş süresi kısalığı ve tekniğin etkili, ucuz ve kolay uygulanabilir olmasıdır.

Our results of mini open approach in patients with carpal tunnel syndrome

Objective: In this study, we aimed to evaluate the results of patients underwent surgical release with mini open surgical method due to Carpal tunnel syndrome (CTS) and the surgical technique. Methods: 50 wrists of the 42 patients that we could reach after they were applied mini open surgical method between 2009- 2013 were analyzed retrospectively. After surgery, patients were followed for an average 47.4 months. CTS was detected in 26 of the patients in right hand, in 10 of the patients in left hand and in seven of them bilaterally. In 27 Preoperative patients advanced in 21 intermediate and in 2 mild Electromyography (EMG) findings compliant with CTS were found. Results: We did not apply a second operation to any of our patients. None of the patients showed any post operative sensitivity on scar tissue and there was no neurovascular damage in any patients during the surgery. The patients returned to their daily activities average on the 10th day after the surgery [range 7-15 days]. In their follow up EMG was not done on a routine basis to the patients. Patients were followed clinically. Conclusion: The advantages of the surgery process we conducted with over pillar mini incision compared to other techniques that there is less pillar region pain and less scar tenderness, shorter return to work and the technique is efficient, cheap and easy to apply.

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