Results of surgical treatment of carpal tunnel syndrome. Experience of Almazov Centre

Background. Carpal tunnel syndrome (CTS) is the most common compression-ischemic neuropathy of the upper extremities, with significant medical and social significance due to the significant reduction in work capacity of patients of various age groups.

Study Objective. To evaluate the outcomes of surgical treatment of patients with CTS using minimally invasive open decompression of the median nerve in the carpal tunnel.

Materials and Methods. The study included 107 patients diagnosed with CTS, aged 33 to 88 years. All surgical procedures were performed on an outpatient basis under local anesthesia. Clinical outcomes were assessed using an objective examination and patient questionnaires using the Boston Symptom Severity Questionnaire (BSS) and the Functional Disability Questionnaire (FSS).

Results. In the vast majority of cases, regression of clinical symptoms was noted as early as 14 days after surgery. Before surgery, the mean SSS and FSS values were 3.61±0.56 and 3.75±0.56, respectively. Postoperatively, a statistically significant reduction in these values was observed: the mean SSS decreased to 1.16±0.04, and the FSS decreased to 1.07±0.07 (p<0.05).Conclusion. Surgical treatment remains the most effective method for treating carpal tunnel syndrome. Despite the variety of surgical techniques, minimizing surgical trauma while ensuring adequate decompression of the median nerve is key to optimizing clinical outcomes and improving patients’ quality of life.

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