Özet:

The purpose of this study was to compare single mini-incision with a 1-2 cm length and single limited incision with a 2-3 cm in terms of functional outcome and complications in carpal tunnel surgery and determine which method was superior to the other one. A total of 93 patients who underwent carpal tunnel surgery between March 2017 and April 2021 were included in the study. 60 hands of 51 patients in the mini-open incision group and 51 hands of 42 patients in the limited surgery group were evaluated. All patients were evaluated for postoperative scar pain, pillar pain, and complications. The patients were followed for a mean of 10.05±2.82 months. While the mean incision length was 1.49±0.15 cm in the mini-incision group, the mean incision length was 2.57±0.22 cm in the limited incision group, and there was a statistically significant difference between the two groups (p=0.0001). However, there was no statistical difference between the two groups in terms of scar pain and pillar pain (p=0.465 ve p=0.519, respectively). In the mini incision group, patients were found to return to their daily physical activities in a shorter time compared to the limited group (p=0.0001). During the follow-up period, only one patient in the mini incision group was reoperated, and no reoperation was required in the limited incision group. In conclusion, both approaches showed similar results and were safe and effective in performing carpal tunnel release. Although the mini-incision had a shorter return to their daily activities due to shorter incision length, one patient treated with mini-incision required revision surgery owing to incomplete TCL release. Surgeons should be aware of the complete TCL release performed during the mini-incision technique.

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