• Tahsin Gurpinar, Baris Polat, Ayse Esin Polat, Engin Carkci, Ahmet Sinan Kalyenci, and Yusuf Ozturkmen.
• Tahsin Gurpinar, Istanbul Training and Resarch Hospital, Department of Orthopedics and Traumatology, Istanbul, Turkey.
• Pak J Med Sci. 2019 Nov 1; 35 (6): 1532-1537.

ObjectiveThis study aimed to compare the clinical results and complications as well as patient satisfaction in patients with carpal tunnel syndrome operated with open carpal tunnel release (OCTR) or endoscopic carpal tunnel release (ECTR) techniques.MethodsThis study conducted in Istanbul Training and Research Hospital between August 2016 and January 2018. A total of 54 patients were operated with the ECTR technique and 50 patients were operated with the OCTR technique after failing nonsurgical treatment. Patients functional scores are assessed with the carpal tunnel syndrome-functional status score (CTS-FSS) and carpal tunnel syndrome-symptom severity score (CTS-SSS). Operation time, incision length and complications of the two techniques were noted and compared.ResultsThe age, sex distribution, distribution of sides, and complaint period were not significant (p > 0.05) between the groups. The preoperative or postoperative CTS-SSS and CTS-FSS values did not differ significantly (p > 0.05). Incision length, time to return to work and return to daily life in the OCTR group was significantly higher than the ECTR group (p < 0.05).ConclusionECTR has similar results in terms of symptom relief, severity, functional status, pillar pain and complication rates compared to OCTR. However, it has the advantages of early return to daily life, early return to work and less incision length.Copyright: © Pakistan Journal of Medical Sciences.

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