Kanchanathepsak T, Wairojanakul W, Phakdepiboon T, Suppaphol S, Watcharananan I, Tawonsawatruk T. Hypothenar fat pad flap vs conventional open release in primary carpal tunnel syndrome: A randomized controlled trial. World J Orthop 2017; 8(11): 846-852 [PMID: 29184759 DOI: 10.5312/wjo.v8.i11.846]
Corresponding Author of This Article
Tulyapruek Tawonsawatruk, MD, PhD, Hand and Microsurgery Unit, Department of Orthopedics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Ratchathewi, Bangkok 10400, Thailand. tulyapruek.tao@mahidol.ac.th
Research Domain of This Article
Orthopedics
Article-Type of This Article
Randomized Controlled Trial
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Orthop. Nov 18, 2017; 8(11): 846-852 Published online Nov 18, 2017. doi: 10.5312/wjo.v8.i11.846
Table 1 Demographics data of conventional open carpal tunnel release and hypothenar fat pad flap groups
COR group (n = 17)
HTFPF group (n = 19)
P value
Age (yr) mean ± SD
50.4 (1.5)
53.3 (1.5)
0.182
Gender (%)
0.231
Male
0 (0)
2 (11)
Female
17 (100)
17 (89)
Body mass index mean ± SD
28.4 (1.3)
25.5 (0.9)
0.064
Hand dominant (%)
1
Right
15 (88)
17 (90)
Left
2 (12)
2 (10)
Side of operation (%)
0.017
Right
6 (35)
15 (79)
Left
11 (65)
4 (21)
Onset of duration mo mean ± SD
11.8 (2.3)
13.3 (2.5)
0.675
Table 2 Results of levine score
Levine score
Preop., mean ± SD
6 wk postop., mean ± SD
12 wk postop., mean ± SD
P value
COR
HTFPF
COR
HTFPF
COR
HTFPF
Symptom severity scale
2.6 (0.6)
2.5 (0.5)
1.7 (0.5)
1.7 (0.5)
1.5 (2.5)
1.1 (0.1)
> 0.05
Functional status scale
2.4 (1.0)
2.5 (0.9)
1.8 (0.7)
1.7 (0.6)
1.4 (0.6)
1.1 (0.2)
> 0.05
Table 3 Results of grip and pinch strength
Preop., mean ± SD
6 wk postop., mean ± SD
12 wk postop., mean ± SD
P value
COR
HTFPF
COR
HTFPF
COR
HTFPF
Grip strength (Pound)
29.2 (15.0)
28.9 (14.1)
22.3 (12.8)
21.4 (10.4)
30.4 (13.0)
31.4 (10.8)
> 0.05
Pinch strength (Pound)
12.0 (3.3)
11.9 (3.9)
11.0 (2.8)
11.5 (3.4)
13.3 (3.3)
15.5 (3.0)
> 0.05
Table 4 Results of pain (visual analog scale), 2-point discrimination and semmes-weinstein monofilament
Preop., mean ± SD
6 wk postop, mean ± SD
12 wk postop, mean ± SD
P value
COR
HTFPF
COR
HTFPF
COR
HTFPF
Pain (VAS)
4.6 (3.4)
4.4 (3.4)
0.4 (1.0)
0.5 (1.1)
0 (0)
0 (0)
> 0.05
2-PD (mm)
3.5 (1.0)
4.7 (2.9)
3.1 (0.8)
2.9 (0.7)
2.5 (0.5)
2.7 (0.8)
> 0.05
SWM
3.7 (0.3)
4.1 (1.0)
3.4 (0.4)
3.4 (0.5)
3.3 (0.4)
3.1 (0.4)
> 0.05
Citation: Kanchanathepsak T, Wairojanakul W, Phakdepiboon T, Suppaphol S, Watcharananan I, Tawonsawatruk T. Hypothenar fat pad flap vs conventional open release in primary carpal tunnel syndrome: A randomized controlled trial. World J Orthop 2017; 8(11): 846-852