PLanque, C.A. de (2017) Risk Factors for Revision Carpal Tunnel Release. thesis, Medicine.
Full text available on request.Abstract
Purpose Many studies report suspected causes of recurrent carpal tunnel syndrome and risk factors influencing the outcomes of revision surgery. However, there is no consensus in literature about the risk factors that predispose to developing recurrent carpal tunnel syndrome. The first aim of this study was to determine the rate of revision carpal tunnel release in two urban hospitals in a period of 14 years. The secondary aim was to assess whether demographic, condition-related and treatment related factors are associated with revision carpal tunnel release. Methods 8118 patients underwent CTR between 2002 and 2015. After manually reviewing the medical record, we identified 114 patients who underwent revision surgery. Multivariable logistic regression analysis was done to study association with demographics (age, sex, and race), unilateral or bilateral treated wrist(s) (including CTR performed simultaneously and separately), and type of surgery (open or endoscopic). To gain further insight into these factors, a matched case control study was performed. Multivariable conditional logistic regression for paired data was performed to identify factors what other factors may be statistically different between matched groups. Results 1.4% (114 of 8118) of the patients underwent revision carpal tunnel surgery. The mean time to revision surgery was 2.6 years (SD 2.8). In multivariable logistic regression analysis, older age, bilateral CTR, and endoscopic CTR were independently associated with higher odds for revision surgery. In the multivariable conditional logistic regression, no factors were independently different between groups. Conclusions Carpal tunnel release has a high success rate. Endoscopic release and bilateral treated hands are risk factors for revision surgery. Level of Evidence Prognostic, Level IV
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Kallenberg, C.G.M. MD and Professor of Clinical Immunology and Chairman of GIPS-M and Department of Rheumatology and Clinical Immunology and Department of Plastic Surgery and Medical Spectrum Twente and Enschede, the Netherlands |
| Supervisor name: | Jupiter, J.B. MD and Past President, American Shoulder and Elbow Surgeons and Hansjoerg Wyss/AO Professor and Harvard Medical School and Chen, N. MD and Interim Chief and Department of Orthopeadic Surgery and Orthopaedic Hand & Upper Extremity Service |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:54 |
| Last Modified: | 25 Jun 2020 10:54 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/1499 |
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