Articles Tập 67 Số CĐ16 02/11/2026

OUTCOMES OF OPEN CARPAL TUNNEL RELEASE AT THAI NGUYEN NATIONAL HOSPITAL

Nguyen Duc Long, Tran Chien, Pham Thi Thuan, Nguyen Duc Trong, Do Quynh Anh
DOI: 10.52163/yhc.v67iCD16.6931
0 Views
0 Downloads
Abstract

Objective: To evaluate outcomes at least six months after open carpal tunnel release at Thai Nguyen National Hospital.

Subjects and Methods: A retrospective case series with postoperative reassessment included 49 adults who underwent open carpal tunnel release at Thai Nguyen National Hospital from January 2024 to December 2025. Preoperative data were abstracted from medical records, and BCTQ symptom severity (SSS) and functional status (FSS) were reassessed at least six months after surgery. Paired changes were tested with the Wilcoxon signed-rank test; mean ± SD was retained as the descriptive measure.

Results: Mean age was 57.8 ± 12.3 years and 71.4% were women. At ≥6 months, BCTQ-SSS decreased from 3.58 ± 0.32 to 1.20 ± 0.51 and BCTQ-FSS from 3.71 ± 0.36 to 1.23 ± 0.54 (both p < 0.001). The study-defined favorable outcome was observed in 81.6%; 89.8% were satisfied or very satisfied and 12.2% reported scar pain.

Conclusion: Open carpal tunnel release was associated with marked group-level improvement in patient-reported symptoms and function at ≥6 months.

Keywords
Carpal tunnel syndrome; open carpal tunnel release; Boston Carpal Tunnel Questionnaire; patient-reported outcome; surgical outcome.
References
[1]
[1] Padua L, Coraci D, Erra C, et al. Carpal tunnel syndrome: clinical features, diagnosis, and management. Lancet Neurol. 2016;15(12):1273-1284. doi:10.1016/S1474-4422(16)30231-9. Google Scholar
[2]
[2] Levine DW, Simmons BP, Koris MJ, et al. A self-administered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndrome. J Bone Joint Surg Am. 1993;75(11):1585-1592. doi:10.2106/00004623-199311000-00002. Google Scholar
[3]
[3] American Academy of Orthopaedic Surgeons. Management of Carpal Tunnel Syndrome: Evidence-Based Clinical Practice Guideline. Rosemont, IL: American Academy of Orthopaedic Surgeons; 2024. Google Scholar
[4]
[4] WHO Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004;363(9403):157-163. doi:10.1016/S0140-6736(03)15268-3. Google Scholar
[5]
[5] Thắng PN, Dũng VA. Kết quả phẫu thuật điều trị hội chứng ống cổ tay. Tạp chí Y Dược học Quân sự. 2023;48(3):96-102. doi:10.56535/jmpm.v48i3.315. Google Scholar
[6]
[6] Nguyễn MS, Nguyễn MK, Lưu DH, Phan BH, Nguyễn VH, Phạm NĐ. Đánh giá kết quả phẫu thuật điều trị hội chứng ống cổ tay với đường mổ nhỏ. Tạp chí Y học Việt Nam. 2024;543(3). doi:10.51298/vmj.v543i3.11550. Google Scholar
[7]
[7] Trung DT, Ngoc TM, Gia DH, Ngoc SD, et al. Endoscopic carpal tunnel release surgery: a case study in Vietnam. J Orthop Surg Res. 2019;14:149. doi:10.1186/s13018-019-1192-z. Google Scholar
[8]
[8] Tang CQY, Lai SWH, Tay SC. Long-term outcome of carpal tunnel release surgery in patients with severe carpal tunnel syndrome. Bone Joint J. 2017;99-B(10):1348-1353. doi:10.1302/0301-620X.99B10.BJJ-2016-0587.R2. Google Scholar
[9]
[9] Fowler JR, Gaughan JP, Ilyas AM. The sensitivity and specificity of ultrasound for the diagnosis of carpal tunnel syndrome: a meta-analysis. Clin Orthop Relat Res. 2011;469(4):1089-1094. doi:10.1007/s11999-010-1637-5. Google Scholar
[10]
[10] Harris AHS, Davis-Lopez K, Finlay AK, et al. Determining the minimal important change in patient reported outcomes for carpal tunnel syndrome. PM R. 2026 Jul 31. doi:10.1002/pmrj.70198. Google Scholar