39-219

La calidad de vida en el síndrome del túnel del carpo. Estudio prospectivo tras cirugía abierta

Quality of life in carpal tunnel syndrome Prospective study after open surgical procedure

J. SANZ REIG, A. LIZAUR UTRILLA, E. SEBASTIÁ FORCADA SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA. HOSPITAL GENERAL DE ELDA. ALICANTE
Recepción:
15/09/2008
Aceptación:
15/09/2008
Publicación:
15/09/2008


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Resumen (ES)

A prospective study was made of 90 patients with
idiopathic carpal tunnel syndrome before and after open release
using a short palmar incision. All women, age between 20
and 50 years, with a postoperative follow-up of one year. They
completed a questionnaire regarding preoperative and postoperative
12 activities of daily living from self-care, hygiene
tasks, reading, writing and housework. They also refereed the
procedure satisfaction and return to work. Preoperative, the
most difficult tasks involved some type of labour. A 53.3% of
the patients rated limitation in 4 activities at least.; however,
12 months after surgery only 4.4% rated limitation in one activity.
The questionnaire showed a significant correlation with
the grip strength p=(0.02) and Tinel sign (p=0.04). The average
satisfaction with the surgery was 9.5 of 10. Preoperative
86.6% of the patients rated limitation to do their job. Average
return to work was 6.1 weeks in 95.5% of the patients. In conclusion,
open carpal tunnel release using a short palmar incision
allow patients to manage activities of daily living almost
completely and to perceive quality of life.

Palabras clave (ES):

vida
Liberación
Nervio
mediano
Cirugía
abierta
Tratamiento
quirúrgico
Síndrome
del
tunel
del
carpo
Carpiano
Calidad
de

Resumen (EN)

A prospective study was made of 90 patients with
idiopathic carpal tunnel syndrome before and after open release
using a short palmar incision. All women, age between 20
and 50 years, with a postoperative follow-up of one year. They
completed a questionnaire regarding preoperative and postoperative
12 activities of daily living from self-care, hygiene
tasks, reading, writing and housework. They also refereed the
procedure satisfaction and return to work. Preoperative, the
most difficult tasks involved some type of labour. A 53.3% of
the patients rated limitation in 4 activities at least.; however,
12 months after surgery only 4.4% rated limitation in one activity.
The questionnaire showed a significant correlation with
the grip strength p=(0.02) and Tinel sign (p=0.04). The average
satisfaction with the surgery was 9.5 of 10. Preoperative
86.6% of the patients rated limitation to do their job. Average
return to work was 6.1 weeks in 95.5% of the patients. In conclusion,
open carpal tunnel release using a short palmar incision
allow patients to manage activities of daily living almost
completely and to perceive quality of life.

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