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Journal of Research in Orthopedic Science، جلد ۱۰، شماره ۱، صفحات ۳۵-۴۲
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| عنوان فارسی |
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| چکیده فارسی مقاله |
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| کلیدواژه‌های فارسی مقاله |
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| عنوان انگلیسی |
Cosmetic Outcomes of Horizontal Mattress Suture in Open Carpal Tunnel Release Surgery |
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| چکیده انگلیسی مقاله |
Background: In carpal tunnel syndrome (CTS) surgery, standard incisions to release the median nerve often leave scars that can cause cosmetic concerns, such as hypertrophic scarring or wrist flexion contracture. Previous studies have explored the benefits of mattress sutures in various surgical contexts, such as meniscus and rotator cuff ruptures.
Objectives: The present study compared the scars of single interrupted and horizontal mattress sutures in median nerve open surgery.
Methods: This randomized controlled trial included 60 hands with CTS treated at Rasoul-Akram, Kasra, and Moheb-Kosar hospitals, Tehran, Iran from September 2020 to October 2021. Patients were randomly assigned to two groups: Group 1 (30 hands) received single interrupted sutures, and group 2 (30 hands) received horizontal mattress sutures. Scar characteristics, including height, width, and color, were assessed six months after surgery.
Results: The sample comprised 84.3% female patients, with a mean age of 59.75±11.54 years. The right hand was involved in 61.6% of cases. No significant preoperative demographic differences were noted between the groups (P>0.05). Six months after the surgery, the horizontal mattress group had significantly lower scar widths (2.17±0.13 cm, P=0.012) and heights (P=0.021) than the single interrupted group. No significant difference was found in hyperpigmentation (P=0.098).
Conclusion: Horizontal mattress sutures resulted in significantly smaller and less noticeable scars than single interrupted sutures in median nerve release surgery. This technique may offer fewer complications and better cosmetic outcomes for CTS patients. |
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| کلیدواژه‌های انگلیسی مقاله |
Carpal tunnel syndrome (CTS), Scar, Pigmentation, Cosmetic techniques |
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| نویسندگان مقاله |
| Alireza Pahlevan Sabagh
Department of Orthopedics, School of Medicine, Bone and Joint Reconstruction Research Center, Iran University of Medical Sciences, Tehran, Iran.
| Morteza Behjat
Department of Orthopedics, School of Medicine, Bone and Joint Reconstruction Research Center, Iran University of Medical Sciences, Tehran, Iran.
| Mohammad Niroomand
Department of Orthopedics, School of Medicine, Bone and Joint Reconstruction Research Center, Iran University of Medical Sciences, Tehran, Iran.
| Amir Sobhani
Department of Orthopedics, School of Medicine, Bone and Joint Reconstruction Research Center, Iran University of Medical Sciences, Tehran, Iran.
| Shayan Amiri
Department of Orthopedics, School of Medicine, Bone and Joint Reconstruction Research Center, Iran University of Medical Sciences, Tehran, Iran.
| Naseh Soleimani
Department of Orthopedics, School of Medicine, Bone and Joint Reconstruction Research Center, Iran University of Medical Sciences, Tehran, Iran.
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| نشانی اینترنتی |
http://jros.iums.ac.ir/browse.php?a_code=A-10-1358-1&slc_lang=en&sid=1 |
| فایل مقاله |
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| کد مقاله (doi) |
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| زبان مقاله منتشر شده |
en |
| موضوعات مقاله منتشر شده |
جراحی دست / آرنج |
| نوع مقاله منتشر شده |
پژوهشی |
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