Immobilisation and scar tissue repair after open carpal tunnel release

Carpal Tunnel Syndrome (CTS) is the most frequent diagnosed perifer
mononeuropathia. When conservative treatment failes to relief the patients
complaints the retinaculum flexorum is surgically released, the so called
Carpla Tunnel Relase (CTR). Overall, the outcome of this procedure are very
good in general. Only little research has been performed toward the treatment
after CTR. Also postoperative scar tissue frequently forms a difficult problem,
while complaint of CTS can return. We think that this latter problem can be
solved by a different stitching technique.

To determine wether the results of CTR are influenced by postoperative
immobilisation of the wrist during nights. Secondly we want to determine wether
scar tissue forming is influenced by the technique used to close the wound.
(simple vs Donati stitches)

Following earlier studies a number of 50 patients will get a postoperative
treatment of four weeks of immobilisation at night. The control group will also
exist of a total of 50 patients, which will get the regular treatment; no
immobilistion postoperative
In another 50 patients the wound will be suitered using the Donati stitches. To
compare wether there is a difference in scar tissue forming these will be
compaired with 50 patients who get the regular single stitches.

CTR

Peroperative: Single vs Donati stitches

Postoperative: Immobilisation vs no immobilisation

Same as regular CTR