دورية أكاديمية
أعرض في EDS

Early Return to Work after Carpal Tunnel Release with Ultrasound Guidance.

التفاصيل البيبلوغرافية
العنوان: Early Return to Work after Carpal Tunnel Release with Ultrasound Guidance.
المؤلفون: Paterson PD; From Vero Orthopaedics, Vero Beach, Fla., Kirsch MJ; Olmsted Medical Center, Rochester, Minn., Miller LE; Miller Scientific, Johnson City, Tenn., Aguila DJ 3rd; Healing Hands of Nebraska, Papillion, Neb.
المصدر: Plastic and reconstructive surgery. Global open [Plast Reconstr Surg Glob Open] 2024 Feb 27; Vol. 12 (2), pp. e5647. Date of Electronic Publication: 2024 Feb 27 (Print Publication: 2024).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wolters Kluwer Health/Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 101622231 Publication Model: eCollection Cited Medium: Print ISSN: 2169-7574 (Print) Linking ISSN: 21697574 NLM ISO Abbreviation: Plast Reconstr Surg Glob Open Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [Philadelphia, PA] : Wolters Kluwer Health/Lippincott Williams & Wilkins, [2013]-
مستخلص: Background: The duration of postoperative leave varies by the carpal tunnel release (CTR) technique. This study aimed to determine the time to return to work (RTW) after CTR with ultrasound (CTR-US) guidance and identify factors contributing to this duration.
Methods: This was a multicenter postmarket registry of patients treated with CTR-US. Time to RTW was analyzed with Kaplan-Meier methods. Logistic regression identified the association of patient, work, and procedural factors with the probability of RTW within 5 days (a standard work week) after CTR-US.
Results: A total of 544 employed patients (655 hands) from 24 centers were treated with CTR-US between November 2019 and August 2022. The mean patient age was 50 years, 62% were women, and most (76%) were full-time employees, where work activities were desk-based (49%), light manual (28%), or heavy manual (23%). The complication rate was 0.8%. After CTR-US, the median RTW was 3 days (interquartile range: 1-6 days), with 74.6% returning by 5 days, 87.8% by 10 days, and 97.1% by 30 days. Work activity (desk-based versus heavy manual: odds ratio = 2.93, 95% confidence interval: 1.70-5.04, P < 0.001) and sex (man versus woman: odds ratio = 1.85, 95% confidence interval: 1.15-2.98, P = 0.01) were associated with higher probability of RTW within 5 days. The median RTW ranged from 2 to 4 days in all patient subgroups, including heavy manual laborers (median 4 days) and women (median 3 days).
Conclusions: CTR-US offers an efficient approach to treating CTS, enabling most patients to RTW with minimal delay. The short recovery periods observed across diverse patient and work characteristic subgroups compare favorably to other CTR techniques.
Competing Interests: Dr. Paterson reports consultancy with Sonex Health, Inc., unrelated to the current study. Dr. Kirsch reports consultancy and stock ownership with Sonex Health, Inc., unrelated to the current study. Dr. Miller reports consultancy with Sonex Health, Inc., related to the current study. Dr. Aguila reports consultancy with Sonex Health, Inc., unrelated to the current study. The funding source was involved in the study design; in the collection of data; and in the decision to submit the article for publication.
(Copyright © 2024 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.)
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تواريخ الأحداث: Date Created: 20240228 Latest Revision: 20240229
رمز التحديث: 20240229
مُعرف محوري في PubMed: PMC10898665
DOI: 10.1097/GOX.0000000000005647
PMID: 38415102
قاعدة البيانات: MEDLINE
الوصف
تدمد:2169-7574
DOI:10.1097/GOX.0000000000005647