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Patient satisfaction following carpal-tunnel decompression: a comparison of patients with and without osteoarthritis of the wrist

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Abstract

The aim of this study was to assess whether surgical decompression for carpal-tunnel syndrome (CTS) in the presence of primary or secondary osteoarthritis of the wrist is associated with poorer patient satisfaction. We did a retrospective matched cohort study. Twenty-four patients who underwent surgical decompression for CTS secondary to osteoarthritis were identified by reviewing the notes and the radiographs. A control group consisted of 24 patients without osteoarthritis of the wrist who underwent carpal-tunnel decompression. The control group was matched for age, sex, side, and neuro-physiological severity of the nerve compression. In the group with osteoarthritis of the wrist, 17 (71%) patients reported their symptom relief as satisfactory, and 7 (29%) reported the results as unsatisfactory. In the control group, 23 (96%) patients reported their symptom relief as satisfactory, and 1 (4%) reported the results as unsatisfactory (P=0.0325). In conclusion, patient satisfaction following surgical decompression in patients with secondary CTS due to osteoarthritis was significantly lower compared to patients without osteoarthritis of the wrist.

Résumé

Le but de ce travail, à partir d’une étude rétrospective de 2 groupes appariés est de savoir si la décompression chirurgicale pour syndrome du canal carpien (SCC) en cas d’arthrose du poignet est associée à de mauvais résultats. 24 patients ayant eu cette intervention étaient identifiés sur dossiers et radiographies et comparés avec un groupe de 24 patients, sans arthrose du poignet, ayant eu la même intervention. Ce groupe de contrôle était apparié pour l’age, le sexe, le côté, et la sévérité neurologique de la compression. Dans le groupe avec arthrose 17 (71%) patients trouvent le résultat satisfaisant et les 7 autres (29%) le trouve insatisfaisant. Dans le groupe de contrôle 23 (96%) patients sont satisfaits et 1 (4%) est insatisfait (P=0.0325). En conclusion la satisfaction des patients opérés pour syndrome du canal carpien secondaire à une arthrose est nettement inférieure à celle ressentie chez les patients sans arthrose.

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Authors and Affiliations

  1. Trauma and Orthopaedics, City Hospital, B18 7QH, Birmingham, UK

    S. Joshy, B. Thomas, S. Ghosh, S. G. Haidar & S. C. Deshmukh

  2. 27 Waun-Y-Groes Road, Cardiff, CF14 4SW, UK

    S. Joshy

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  1. S. Joshy
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  2. B. Thomas
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  3. S. Ghosh
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  4. S. G. Haidar
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  5. S. C. Deshmukh
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Correspondence to S. Joshy.

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We as authors are responsible for this paper. No benefits in any form have been received from a commercial party related directly or indirectly to the subject of this article.

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Joshy, S., Thomas, B., Ghosh, S. et al. Patient satisfaction following carpal-tunnel decompression: a comparison of patients with and without osteoarthritis of the wrist. International Orthopaedics (SICO 31, 1–3 (2007). https://doi.org/10.1007/s00264-006-0094-y

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  • DOI: https://doi.org/10.1007/s00264-006-0094-y

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