Page 71 - GTM-2-4

Global Translational Medicine

ORIGINAL RESEARCH ARTICLE
Surgical outcome of open carpal tunnel release:

A 2-year case series study at Zliten Teaching
Hospital, Libya

3
1,2
Mohamed Gwila *, Mostafa Ebshina , Syeda Humayra , and
2
Moniruddin Chowdhury 3,4
1 Department of Orthopaedics and Traumatology, Faculty of Medicine, Al Asmarya Islamic University,
Zliten, Libya
2 Department of Orthopaedics, Zliten Teaching Hospital, Zliten, Libya
3 Department of Public Health, Faculty of Allied Health Sciences, Daffodil International University,
Daffodil Smart City, Birulia, Dhaka, Bangladesh
4 Department of Medicine, Faculty of Medicine, AIMST University, Bedong, Kedah, Malaysia

Abstract

Carpal tunnel syndrome (CTS) is the most commonly diagnosed peripheral
neuropathy, with a prevalence of 1 – 16% within the general population. If left
untreated, it can lead to permanent dysfunctionality and disability. This study
aimed to determine the outcomes and complications associated with open
carpal tunnel release surgery (OCTR), compare the presentation of CTS symptoms
before and after the operation, and investigate the factors contributing to post-
*Corresponding author: operative complications. To achieve these objectives, a case series design was
Mohamed Gwila
(ghwila001@gmail.com) employed, and the study was conducted at the Department of Orthopedics
and Traumatology in Zliten Teaching Hospital, Libya, from January 2016 to
Citation: Gwila M, Ebshina M,
Humayra S, et al., 2023, Surgical December 2018. A total of 256 patients who had opted to undergo OCTR of the
outcome of open carpal tunnel transverse carpal ligament during the preoperative stage were enrolled and
release: A 2-year case series study prospectively followed up for 2 years. The post-operative follow-up analysis
at Zliten Teaching Hospital, Libya.
Global Transl Med, 2(4): 1019. revealed a statistically significant reduction in symptoms such as dull aching
https://doi.org/10.36922/gtm.1019 discomfort in the hand and forearm, as well as paresthesia and numbness when
compared to the pre-operative period (10.2% vs. 90.5%; P < 0.0001). However,
Received: May 30, 2023
Accepted: October 7, 2023 there were no significant differences in clumsiness (18.8% vs. 25.8%; P = 0.256)
Published Online: November 6, or thenar muscle atrophy (1.6% vs. 5.0%; P = 0.194). The majority of the patients
2023 (90.6%) expressed high levels of satisfaction with the procedure, reporting no
Copyright: © 2023 Author(s). recurrence of symptoms. In contrast, only 9.4% of patients experienced post-
This is an Open-Access article operative complications. The study findings revealed no significant correlation
distributed under the terms of the
Creative Commons Attribution between post-operative complications and body mass index (P = 0.194).
License, permitting distribution, Nonetheless, a statistically significant association was observed between the
and reproduction in any medium, severity of nerve conduction and post-operative complications (P = 0.011).
provided the original work is
properly cited. In summary, the open release of the transverse carpal ligament resulted in
positive surgical outcomes.
Publisher’s Note: AccScience
Publishing remains neutral with
regard to jurisdictional claims in
published maps and institutional Keywords: Carpal tunnel syndrome; Libya; Open release; Outcomes; Surgery
affiliations.

Volume 2 Issue 4 (2023) 1 https://doi.org/10.36922/gtm.1019