Extended open-carpal tunnel release in renal dialysis patients Sammy Al-Benna1, P. G. C. Nano1, Haussam El-Enin2
1 Department of Plastic Surgery, St. Bartholomew's Hospital, West Smithfield, London UK
2 Sheffield Kidney Institute, Sheffield Teaching Hospitals, Sheffield, United Kingdom,
Saudi Journal of Kidney Diseases and Tranplantation :http://www.sjkdt.org/article.asp?issn=1319-2442;year=2012;volume=23;i
ssue=6;spage=1181;epage=1187;aulast=Al-Ber
Abstract:
Chronic hemodialysis patients are susceptible to median nerve compression. The clinical symptoms, surgical
results and prognosis of chronic hemodialysis-related carpal tunnel syndrome have different results from those
of idiopathic carpal tunnel syndrome. The aim of this study was to evaluate the clinical results of extended open
carpal tunnel release in chronic hemodialysis-related carpal tunnel syndrome. A review of 31 open-extended
carpal tunnel decompressions in 27 chronic dialysis patients was performed. The surgical technique is detailed
and the clinical results analyzed. There was an improvement in symptoms and strength in all patients. There
were no instances of recurrence of nerve compression during the one year follow-up period. Extended open
carpal tunnel decompression improves symptoms and enhances hand function in patients receiving chronic
hemodialysis.
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