Recurrence rate of the Paine retinaculotome carpal tunnel release in diabetic and non-diabetic patients at long-term follow-up |
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| Authors: | Pai-Han Wang Hui-Kuang Huang Jung-Pan Wang Yu-An Liu Yi-Chao Huang Ming-Chau Chang |
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| Affiliation: | 1. Department of Surgery, National Yang-Ming University School of Medicine, Taipei, Taiwan, ROC;2. Department of Orthopaedics & Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC;3. Department of Orthopaedics, Chiayi Christian Hospital, Chiayi, Taiwan, ROC;4. Chung Hwa University of Medical Technology, Tainan, Taiwan, ROC;5. Institute of Anatomy and Cell Biology, National Yang-Ming University School of Medicine, Taipei, Taiwan, ROC |
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| Abstract: | BackgroundCarpal tunnel release (CTR) is considered effective in treating carpal tunnel syndrome (CTS), and diabetes is considered to complicate the outcome and recovery. However, the difference in recurrence rate between diabetic and non-diabetic patients after mini-open CTR in the long-term has not yet determined.MethodsThis study enrolled 1251 wrists (1091 patients), with 841 (67%) females and 480 (33%) males at a mean age of 58.5 years at operation. Patients were followed for a mean duration of 10.5 years. We retrospectively compared the recurrence rates of the Paine retinaculotome for mini-open CTR at wrist in diabetic and non-diabetic patients.ResultsIn our study, a total of 161 wrists (13%) were in the diabetic patients and 1090 wrists (87%) were in the non-diabetic patients. Two wrists (1.24%) in the diabetic group and seven (0.6%) in the non-diabetic group exhibited recurrence (p = 0.325).ConclusionThe mini-open CTR with the Paine retinaculotome in diabetic patients didn't show significantly higher recurrence rate than that in non-diabetic patients in the long term. |
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| Keywords: | Carpal tunnel syndrome Diabetes mellitus Median nerve Paine retinaculotome Recurrence |
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