Tehran University of Medical Sciences
Journal of Orthopedic and Spine Trauma
2538-2330
10
1
2024
04
01
Penrose Drain for Carpal Tunnel Release: A Randomized Controlled Trial
15
18
Seyd Houssein
Saeed-Bandaky
0000-0002-6481-0227
Maziar
Malekzadeh
0000000188666584
Abbas
Tafti
Trauma Research enter, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
2023
01
10
2024
04
01
Background: Surgical site hematoma is one of the factors that influences the results of the carpal tunnel release and patients’ satisfaction ; therefore, this study was designed to evaluate the effects of using Penrose drain in order to reduce the operation site hematoma and improve the results of surgery.
Methods: Patients with a diagnosis of carpal tunnel syndrome (CTS) were randomly divided into intervention and control group and then were evaluated by pain with Visual Analog Scale (VAS) and Pinch power. Penrose drain was placed for the intervention group and removed after two days. Three months after surgery, all patients were re-evaluated by VAS and pinch power, and then the collected data were analyzed statistically using the Wilcoxon Signed Ranks Test by SPSS.
Results: Out of 46 patients, Penrose drain was placed for 21 patients. According to the results, the VAS and Pinch power evaluations were better in patients with Penrose drain (P-value = 0.001) but in patients without Penrose drain, only the VAS evaluation results were improved, but a decrease in Pinch powers was detected.
Conclusion: The results showed that CTR surgery with or without the Penrose drain decreases pain in patients after three months of operation. CTR with Penrose drain improve Pinch power and also decreases the pain, but in patients without Penrose drain, Pinch power was reduced after this period.
https://jost.tums.ac.ir/index.php/jost/article/view/464
https://jost.tums.ac.ir/index.php/jost/article/download/464/361
esults: Twelve patients with a mean age of 44 years were included. Seven (58.3%) were men and five (41.66%) were women. The mean follow-up period was 45 months (range: 6-135). The hand was the most common location of involvement and the digital nerve was the most frequent origin of Schwannoma. Postoperative evaluation showed no tumor recurrence and pain resolved in all twelve patients (100%). Sensory dysfunction resolved completely in 5 out of 8 patients who reported sensory impairment preoperatively (62.5%) and no motor function improvement was seen in the patient with motor deficit.
Conclusion: Adequate operative techniques can lead to complete tumor removal without neurological loss or recurrence. Neural function improvement in most cases is achieved. New neurologic impairment after excision of Schwannoma is rare.
https://jost.tums.ac.ir/index.php/jost/article/view/491
https://jost.tums.ac.ir/index.php/jost/article/download/491/354