Results of Extensile Approach in Surgical Treatment of Failed Carpal Tunnel Surgery. | ||
| The Egyptian Orthopaedic Journal | ||
| Articles in Press, Accepted Manuscript, Available Online from 25 August 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/eoj.2025.385595.1044 | ||
| Authors | ||
| Mohammed Abdelraof Abdelfatah* ; Mohammed Gooda Montaser; Ahmed Refaat Khamis; Samir Monib | ||
| Orthopedic Surgery Department, Faculty of Medicine, Benha University, Benha, Egypt | ||
| Abstract | ||
| Background: Revision carpal tunnel surgery presents a challenge due to persistent or recurrent symptoms. Purpose: The aim of this study was to evaluate the outcomes of the extensile approach in failed carpal tunnel surgery. Subjects and Methods: A prospective study was conducted on 40 patients with persistent or recurrent carpal tunnel symptoms post-surgical release. All patients underwent revision surgery using the extensile approach. Outcome measures included grip strength, BCTQ-SSS, QuickDASH, key pinch strength, and neuropathic pain score. Results: Postoperatively, significant improvements were observed: Grip strength increased from 21.4 ± 1.0 kg to 31.3 ± 2.2 kg (p < 0.001). BCTQ Symptom Severity Score decreased from 33.2 ± 10.0 to 17.0 ± 2.0 (p < 0.001). Key pinch improved from 6.4 ± 0.5 kg to 9.0 ± 0.9 kg (p < 0.001). QuickDASH score dropped from 4.6 ± 0.5 to 1.7 ± 0.8 (p < 0.001). NPS decreased from 7.1 ± 1.4 to 3.0 ± 0.9 (p < 0.001). Only one patient (2.5%) developed mild wound dehiscence, which resolved conservatively without surgical intervention. Conclusions: The extensile approach is effective for managing failed carpal tunnel release with satisfactory outcomes. | ||
| Keywords | ||
| Carpal Tunnel Syndrome; Revision Surgery; Extensile Approach; Neurolysis; Functional Outcomes | ||
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