The impact of dressings on recovery from carpal tunnel decompression

详细信息    查看全文

• 作者：Andrew M. Williams ; Paul A. Baker ; Alastair J. Platt
• 关键词：Carpal ; Tunnel ; Dressing ; Recovery
• 刊名：Journal of Plastic, Reconstructive Aesthetic Surgery
• 出版年：2008
• 出版时间：December 2008
• 年：2008
• 卷：61
• 期：12
• 页码：1493-1495
• 全文大小：114 K

文摘

Summary

This study assesses the impact on outcome of wearing a bulky dressing following carpal tunnel decompression. One hundred patients were randomised for having a bulky dressing removed at either 24 h or 2 weeks postoperatively. A Levine score was measured preoperatively and postoperatively at 2 weeks. The surgery and other dressings used were standardised as per the protocol. Comparison was made between the symptom and functional severity scores for each group to assess the impact of duration of wearing the dressing on resolution of symptoms.

The results indicate no difference in outcome between the 2 week and 24 h groups. We therefore feel that patients should be given the choice as to when to remove their dressing. If they feel restricted, they are free to remove the bulky dressing without an increased risk of a worse outcome. If they feel secure in the dressing, they will not suffer leaving it in place for 2 weeks.