Comparing the running subcuticular technique versus the Donati technique in open carpal tunnel release: a randomized controlled trial.
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2021;9(20):8 J Orthop Surg Res. 2021; 16: 565.¿Qué significa esto para mi consulta?
The results of this study revealed no significant differences in pain or function between the two suture techniques for patients undergoing open carpal tunnel release. Whilst patient-reported scar assessment was slightly better in the running subcuticular group at 2 weeks, the 6 and 12 week results were not significantly different. This study was limited by the short follow up period, as well as the lack of capturing pain levels during suture removal - many patients complained about pain during the removal of the running subcuticular suture than the Donati suture. Future studies with longer follow up and assessment of pain during suture removal are of interest.
Resumen del estudio
One hundred and forty-two patients with carpal tunnel syndrome scheduled for an open carpal tunnel release were randomized to receive wound closure via the Donati suture technique (n=71) or the running subcuticular suture technique (n=71). The primary outcome of interest was scar assessment by the patient and physician via the Patient and Observer Scar Assessment Scale (POSAS). Secondary outcomes of interest included pain on a Verbal Numeric Rating Scale (NRS), function on the Boston Carpal Tunnel Questionnaire (BCTQ), grip strength, and pinch strength. Outcomes were assessed at 2 weeks, 6 weeks, and 12 weeks post-surgery. No significant differences were observed between groups in all outcomes at all time-points, with the exception of early (2 week) POSAS scores by the patient, which were in favour of the running subcuticular group.
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