A Comparative study of postoperative pain after open versus endoscopic carpel tunnel release at tertiary health care centre
Journal Title: Medpulse International Journal of Orthopedics - Year 2018, Vol 7, Issue 3
Abstract
Background: The carpal tunnel syndrome (CTS) is a common problem since half of century. Carpal tunnel syndrome (CTS) is caused by compression of the median nerve at the wrist resulting in hand numbness, loss of dexterity, muscle wasting and decreased functional ability at work. Aims and Objectives: To study postoperative pain after open versus endoscopic carpel tunnel release at tertiary health care centre. Methodology: After approval from institutional ethical committee this cross-sectional study was carried out in the department of Orthopedics during the one year period i.e. January 2017 to January 2018, in the patients with carpel tunnel syndrome. All the records of patients which were treated either by open or endoscopic method were retrieved and the 30 patients treated by endoscopic method and 30 patient treated by open method were studied randomly. All details of the patients like age , sex, pain in the patients was assessed on 1st , 2nd , 3rd , 4th , 5th and 6th post operative day was assessed by Visual analogue scale score was studied . The statistical analysis was done by unpaired t-test and Chi-square test calculated by SPSS 19 version software. Result : average age Yrs. of Endoscopic Surgery Group was 45 ± 3.54 and Open Surgery Group was 46 ± 4.32 Yrs. and no of Male and Female were comparable in both the groups ( t=1.21,=df=58,p>0.05) and (χ2=0.277,df=1,p>0.05) respectively. The Pain measured by VAS score was significantly higher in the open surgery group as compared to Endoscopic Surgery Group i.e. 3.42 ± 2.1 and 6.13 ± 3.42 (t=3.69,df=58,p<0.005); 2.1± 3.12 and 5.23± 2.92 (t=4.92,df=58,p<0.001); 1.92 ± 2.23 and 3.76± 2.61 (t=5.21,df=58,p<0.001); 1.32± 1.98 and 3.52±1.39 (t=3.12,df=58,p<0.01) ; 1.12± 1.62 and 2.92 ± 2.54 (t=5.97,df=58,p<0.001); 0.92 ± 0.43 and 2.12 ± 1.73 (t=4.47,df=58,p<0.001) respectively in Endoscopic Surgery Group and Open Surgery Group. Conclusion: It can be concluded from our study that that the post operative pain was significantly higher in the Open Surgery Group as compared to Endoscopic Surgery Group so the pain Endoscopic surgery is a better option as compared open surgery.
Authors and Affiliations
Rajkumar Indrasen Suryawanshi
Keywords
Related Articles
- EP ID EP467267
- DOI 10.26611/1020732
- Views 71
- Downloads 0
Prevalence of vitamin D insufficiency in an adult normal population of India
Background: There are multiple studies in different countries regarding the prevalence of vitamin d deficiency. These studies showed high prevalence of vitamin d deficiency in Asian countries. This study tries to elucida...
A study of role of arthroscopy in diagnosis and therapeutic intervention at tertiary health care centre
Background: Arthroscopy (also called arthroscopic or keyhole surgery) is a minimally invasive surgical procedure on a joint in which an examination and sometimes treatment of damage is performed using an arthroscope. Aim...
Awareness and knowledge about osteoporosis among under-graduate medical students in a medical college in south India
Background: Osteoporosis affects millions of people world-wide. Awareness about osteoporosis is one of the contributing factors for osteoporosis prevention. Lack of awareness among health care providers will ultimately r...
Functional outcome of distal humerus fractures treated with an extensor mechanism sparing Paratricipital approach
Background: Management of distal humerus fracture in adult often poses a challenge to even the most experienced surgeon. The paratricipital approach have several advantages, complications of olecranon osteotomy can be av...
Management of lateral end clavicle fractures using clavicle hook plate vs lateral clavicle locking plate: A comparative study
Background: The study was conducted to compare the functional outcome of clavicular hook plate and lateral clavicle locking plate for displaced lateral end clavicle fractures using Constant Murley score. Materials and me...