PDF(Pubmed)
Abstract：
UNASSIGNED: The purpose of this study was to determine whether a relationship exists between body mass index (BMI), specifically obesity, and surgical outcomes for open carpal tunnel release. Obesity is correlated with increased incidence of carpal tunnel syndrome; however, the effect of obesity on after release recovery has not been examined.
UNASSIGNED: This study used a retrospective review of patient charts (n = 142). BMI was calculated based on height and weight measurements, and patients were grouped based on their BMI into the following categories: healthy BMI (18.5-24.9 kg/m2), overweight (25-29.9 kg/m2), obesity class one (30-34.9 kg/m2) (OB1), obesity class (2 35-39.9 kg/m2) (OB2), or obesity class three (40+ kg/m2) (OB3). Data were then complied on surgical outcomes by assessing preoperative pain, postoperative pain at 2 and 6 weeks, postoperative joint stiffness, wound healing time, and infection status. Data were analyzed using chi-square analyses and multivariable logistic regression to assess the differences in treatment outcomes while controlling for possible confounding variables.
UNASSIGNED: Age at the time of release was found to be inversely correlated with BMI. Healthy BMI patients (n = 19) underwent release at an average age of 59.1 years, whereas OB3 (n = 30) underwent release at an average age of 46.9 years. The odds of improvement in pain were significantly lower in all three obesity groups when compared with healthy BMI at both 2 and 6 weeks after operation.
UNASSIGNED: Our results indicate that obesity may be positively correlated with earlier incidence of carpal tunnel syndrome requiring surgical intervention. These data also indicate the increased rates of postoperative complications in obese patients, particularly patients with OB3. Patients with OB3 need to understand these risks before undergoing open release. Further study should examine the impact of type 2 diabetes on carpal tunnel release recovery.
UNASSIGNED: The information included in this study may be used to guide surgeons and patients when considering the effect and potential improvement in outcomes that may come from addressing patient BMI before open carpal tunnel surgery.
UNASSIGNED: This study used a retrospective review of patient charts (n = 142). BMI was calculated based on height and weight measurements, and patients were grouped based on their BMI into the following categories: healthy BMI (18.5-24.9 kg/m2), overweight (25-29.9 kg/m2), obesity class one (30-34.9 kg/m2) (OB1), obesity class (2 35-39.9 kg/m2) (OB2), or obesity class three (40+ kg/m2) (OB3). Data were then complied on surgical outcomes by assessing preoperative pain, postoperative pain at 2 and 6 weeks, postoperative joint stiffness, wound healing time, and infection status. Data were analyzed using chi-square analyses and multivariable logistic regression to assess the differences in treatment outcomes while controlling for possible confounding variables.
UNASSIGNED: Age at the time of release was found to be inversely correlated with BMI. Healthy BMI patients (n = 19) underwent release at an average age of 59.1 years, whereas OB3 (n = 30) underwent release at an average age of 46.9 years. The odds of improvement in pain were significantly lower in all three obesity groups when compared with healthy BMI at both 2 and 6 weeks after operation.
UNASSIGNED: Our results indicate that obesity may be positively correlated with earlier incidence of carpal tunnel syndrome requiring surgical intervention. These data also indicate the increased rates of postoperative complications in obese patients, particularly patients with OB3. Patients with OB3 need to understand these risks before undergoing open release. Further study should examine the impact of type 2 diabetes on carpal tunnel release recovery.
UNASSIGNED: The information included in this study may be used to guide surgeons and patients when considering the effect and potential improvement in outcomes that may come from addressing patient BMI before open carpal tunnel surgery.
摘要：
■这项研究的目的是确定体重指数（BMI）之间是否存在关系，特别是肥胖，和开放腕管松解术的手术结果。肥胖与腕管综合征的发病率增加有关；然而，尚未研究肥胖对释放后恢复的影响。
■这项研究使用了患者图表的回顾性回顾（n=142）。BMI是根据身高和体重测量值计算的，根据患者的BMI分为以下几类：健康的BMI（18.5-24.9kg/m2），超重（25-29.9kg/m2），肥胖一级（30-34.9公斤/平方米）（OB1），肥胖等级（235-39.9kg/m2）（OB2），或肥胖3级(40+kg/m2)(OB3)。然后通过评估术前疼痛来收集手术结果的数据，术后2周和6周疼痛，术后关节僵硬度,伤口愈合时间,和感染状况。使用卡方分析和多变量逻辑回归分析数据，以评估治疗结果的差异，同时控制可能的混杂变量。
■发现释放时的年龄与BMI呈负相关。健康BMI患者（n=19）在平均年龄59.1岁时接受了释放，而OB3(n=30)在平均年龄46.9岁时接受释放.术后2周和6周，与健康BMI相比，所有三个肥胖组的疼痛改善几率均显着降低。
■我们的结果表明，肥胖可能与需要手术干预的腕管综合征的早期发病率呈正相关。这些数据还表明肥胖患者术后并发症的发生率增加，特别是OB3患者。OB3患者在进行开放释放之前需要了解这些风险。进一步的研究应检查2型糖尿病对腕管释放恢复的影响。
■本研究中包含的信息可用于指导外科医生和患者在进行腕管开放性手术前考虑患者BMI可能带来的效果和结果的潜在改善。
■这项研究使用了患者图表的回顾性回顾（n=142）。BMI是根据身高和体重测量值计算的，根据患者的BMI分为以下几类：健康的BMI（18.5-24.9kg/m2），超重（25-29.9kg/m2），肥胖一级（30-34.9公斤/平方米）（OB1），肥胖等级（235-39.9kg/m2）（OB2），或肥胖3级(40+kg/m2)(OB3)。然后通过评估术前疼痛来收集手术结果的数据，术后2周和6周疼痛，术后关节僵硬度,伤口愈合时间,和感染状况。使用卡方分析和多变量逻辑回归分析数据，以评估治疗结果的差异，同时控制可能的混杂变量。
■发现释放时的年龄与BMI呈负相关。健康BMI患者（n=19）在平均年龄59.1岁时接受了释放，而OB3(n=30)在平均年龄46.9岁时接受释放.术后2周和6周，与健康BMI相比，所有三个肥胖组的疼痛改善几率均显着降低。
■我们的结果表明，肥胖可能与需要手术干预的腕管综合征的早期发病率呈正相关。这些数据还表明肥胖患者术后并发症的发生率增加，特别是OB3患者。OB3患者在进行开放释放之前需要了解这些风险。进一步的研究应检查2型糖尿病对腕管释放恢复的影响。
■本研究中包含的信息可用于指导外科医生和患者在进行腕管开放性手术前考虑患者BMI可能带来的效果和结果的潜在改善。
