Journal of plastic, reconstructive & aesthetic surgery : JPRAS · 2007
Management of carpal tunnel syndrome in renal dialysis patients using an extended carpal tunnel release procedure.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Wilson S W, Pollard R E, Lees V C
Аннотация
BACKGROUND: Chronic dialysis patients are susceptible to median nerve compression. This may be due to oedema or vascular insufficiency related to a dialysis shunt or fistula. Patients with renal failure may also develop amyloid disease. Amyloid infiltration of the synovium within the carpal canal may be a contributing factor to the nerve compression. Traditional carpal tunnel release, although simple to perform, is associated with a much higher recurrence rate in this group than in nonrenal patients. Our aim was to modify the carpal tunnel release procedure and prevent these recurrences.
METHODS: A retrospective review of 24 extended carpal tunnel decompressions in 19 dialysis patients was performed, with reference to patient records. The surgical technique is detailed and the clinical results analysed.
RESULTS: All patients noted an early and sustained improvement in symptoms; those patients with established sensory or motor signs had poorer results following surgery. There were no instances of recurrence of nerve compression during this follow-up period, range 2-6 years.
CONCLUSIONS: Carpal tunnel decompression enhances hand function and quality of life in this group.
METHODS: A retrospective review of 24 extended carpal tunnel decompressions in 19 dialysis patients was performed, with reference to patient records. The surgical technique is detailed and the clinical results analysed.
RESULTS: All patients noted an early and sustained improvement in symptoms; those patients with established sensory or motor signs had poorer results following surgery. There were no instances of recurrence of nerve compression during this follow-up period, range 2-6 years.
CONCLUSIONS: Carpal tunnel decompression enhances hand function and quality of life in this group.