Abstract
In this report, we describe our experience on the treatment of CTS. Patients and Methods : 187 operations were performed in 45 males (56 operations) and 110 females (131 operations) for CTS during the period from January 1995 to December 2001 in our hospital. The results of surgical treatment were retrospectively reviewed. Before operation, a neurophysiologic examination was performed in all patients. In all patients, standard open release of the carpal tunnel was performed. Results : The outcome was graded as "excellent" in 169 operations, as "good" in 12 operations and "poor" in 6 operations. Twelve out of 187 were reoperations. Six out of the 12 re-operated patients had received their first operation in other hospitals. These patients all had minimal incision without endoscope for carpal tunnel release. Among 6 re-operated patients who had received the first operation in our hospital, 1 patient had work-related CTS, 2 suffered from hyperuricemia, 2 had incomplete exposure and 1 had a wound hematoma. Twenty patients had bilateral CTS and required two procedures. In the case of CTS complicated with a basic disease or work-related factors, minimal incision for carpal tunnel release (MICTR) should not be done. In spite of open release of carpal tunnel (OCTR) being performed as the first operation, an incomplete exposure should be reconsidered.
