Document Detail

Duration of Postoperative Dressing After Mini-Open Carpal Tunnel Release: A Prospective, Randomized Trial.
MedLine Citation:
PMID:  22133704     Owner:  NLM     Status:  Publisher    
PURPOSE: In this prospective, randomized, controlled study, we hypothesized that there would be no difference in short-term functional, subjective, and blinded wound outcome measures between patients treated after mini-open carpal tunnel release (CTR) with a postoperative bulky dressing for 2 weeks and those with dressing removal and placement of an adhesive strip after 48 to 72 hours. METHODS: A total of 94 consecutive patients underwent mini-open CTR and placement of a bulky dressing and were randomized to either bandage removal at 48 to 72 hours with placement of an adhesive strip or continuation of the postoperative dressing until initial follow-up at approximately 2 weeks. We evaluated patient demographics, Levine-Katz scores, range of motion, strength, and a blinded assessment of wound healing at approximately 2 weeks and between 6 and 12 weeks. We conducted paired and independent sample t-tests to evaluate for statistical significance. RESULTS: There was no significant difference in Levine-Katz scores between groups at either the first follow-up or final visit. One patient with a longer dressing duration had evidence of a wound dehiscence. CONCLUSIONS: Removal of a bulky dressing after mini-open CTR and replacement with an adhesive strip at 48 to 72 hours causes no wound complications and results in equal short-term clinical and subjective outcome measures compared with using a bulky dressing for 2 weeks. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic I.
Andrew W Ritting; Robin Leger; Michael P O'Malley; Heather Mogielnicki; Robert Tucker; Craig M Rodner
Related Documents :
17453284 - An anterior or posterior approach to partial fundoplication? long-term results of a ran...
20564474 - Balloon dilatation eustachian tuboplasty: a clinical study.
25337534 - Taurine improves the wound healing process in cutaneous leishmaniasis in mice model, ba...
17708274 - Laparoscopic nissen's fundoplication: retrospective study of 168 cases, long-term follo...
11866264 - Conservative treatment of primary gastric low-grade b-cell lymphoma of mucosa-associate...
9436594 - Reconstruction of right ventricular outflow tract by pedicled pericardial valved conduit.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-11-29
Journal Detail:
Title:  The Journal of hand surgery     Volume:  -     ISSN:  1531-6564     ISO Abbreviation:  -     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-12-2     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7609631     Medline TA:  J Hand Surg Am     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
Department of Orthopaedic Surgery, Medical Arts and Research Building, University of Connecticut, Farmington, CT.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Comparison of Laparoscopically Assisted Vaginal Hysterectomy and Abdominal Hysterectomy: A Randomize...
Next Document:  Role of Wrist Arthrodesis in Patients Receiving Double Free Muscle Transfers for Reconstruction Foll...