Journal of Hand Surgery
Volume 35, Issue 2 , Pages 189-196 , February 2010

Rate of Infection After Carpal Tunnel Release Surgery and Effect of Antibiotic Prophylaxis

Received 21 April 2009 ,Accepted 11 November 2009.

References 

  1. Szabo RM, Steinberg D. Nerve entrapment syndromes in the wrist. J Am Acad Orthop Surg. 1994;2:115–123
  2. Michelsen H, Posner MA. Medical history of carpal tunnel syndrome. Hand Clin. 2002;18:257–268
  3. Patterson J, Simmons BP. Outcomes assessment of carpal tunnel syndrome. Hand Clin. 2002;18:359–363
  4. Adams ML, Franklin GM, Barnhart S. Outcome of carpal tunnel surgery in Washington State workers' compensation. Am J Ind Med. 1994;25:527–536
  5. Atroshi I, Larsson GU, Ornstein E, Hofer M, Johnsson R, Ranstam J. Outcomes of endoscopic surgery compared with open surgery for carpal tunnel syndrome among employed patients: randomised controlled trial. BMJ. 2006;332:1473
  6. Gerritsen AA, de Vet HC, Scholten RJ, Bertelsmann FW, de Krom MC, Bouter LM. Splinting vs surgery in the treatment of carpal tunnel syndrome: a randomized controlled trial. JAMA. 2002;288:1245–1251
  7. Serra L, Panagiotopoulos K, Bucciero A, Mehrabi FK, Pescatore G, Santangelo M, et al. Endoscopic release in carpal tunnel syndrome: analysis of clinical results in 200 cases. Minim Invasive Neurosurg. 2003;46:11–15
  8. Townshend DN, Taylor PK, Gwynne-Jones DP. The outcome of carpal tunnel decompression in elderly patients. J Hand Surg. 2005;30A:500–505
  9. Trumble TE, Gilbert M, McCallister WV. Endoscopic versus open surgical treatment of carpal tunnel syndrome. Neurosurg Clin North Am. 2001;12:255–266
  10. Weber RA, Rude MJ. Clinical outcomes of carpal tunnel release in patients 65 and older. J Hand Surg. 2005;30A:75–80
  11. Das S, Brown MG. In search of complications in carpal tunnel decompression. Hand. 1976;8:243–249
  12. Louis DS, Greene TL, Noellert RC. Complications of carpal tunnel surgery. J Neurosurg. 1985;62:352–356
  13. MacDonald R, Lichtman D, Hanlon J, Wilson J. Complications of surgical release for carpal tunnel syndrome. J Hand Surg. 1978;3:70–76
  14. Urbaniak J, Desai S. Compliations of nonoperative and operative treatment of carpal tunnel syndrome. Hand Clin. 1996;12:325–335
  15. Hanssen A, Amadio P, DeSilva S, Ilstrup D. Deep postoperative wound infection after carpal tunnel release. J Hand Surg. 1989;14A:869–873
  16. Macdermid JC, Richards RS, Roth JH, Ross DC, King GJ. Endoscopic versus open carpal tunnel release: a randomized trial. J Hand Surg. 2003;28A:475–480
  17. Shapiro S. Microsurgical carpal tunnel release. Neurosurgery. 1995;37:66–70
  18. Ariyan S, Watson H. The palmar approach for the visualization and release of the carpal tunnel: an analysis of 429 cases. Plast Reconstr Surg. 1997;60:539–547
  19. Gainer J, Nugent G. Carpal tunnel syndrome: report of 430 operations. South Med J. 1977;70:325
  20. Kleinert J, Hoffman J, Crain G, Larsen C, Goldsmith L, Firrell J. Postoperative infection in a double-occupancy operating room: a prospective study of two thousand four hundred and fifty-eight procedures on the extremities. J Bone Joint Surg. 1997;79A:503–513
  21. Rizvi M, Bille B, Holtom P, Schnall S. The role of prophylactic antibiotics in elective hand surgery. J Hand Surg. 2008;33A:413–420
  22. Boyd RJ, Burke JF, Colton T. A double-blind clinical trial of prophylactic antibiotics in hip fractures. J Bone Joint Surg. 1973;55A:1251–1255
  23. Fitzgerald R, Thompson R. Cephalosporin antibiotics in the prevention and treatment of musculoskeletal sepsis. J Bone Joint Surg. 1983;65A:1201–1205
  24. Mangram A, Horan T, Pearson M, Silver L, Jarvis W. The Hospital Infection Control Practices Advisory Committee (Guideline for prevention of surgical site infection). Am J Infect Control. 1999;27:97–134
  25. Menovsky T, Bartels RH, van Lindert EL, Grotenhuis JA. Skin closure in carpal tunnel surgery: a prospective comparative study between nylon, polyglactin 910 and stainless steel sutures. Hand Surg. 2004;9:35–38
  26. Filippi R, Reisch R, El-Shki D, Grunert P. Uniportal endoscopic surgery of carpal tunnel syndrome: technique and clinical results. Minim Invasive Neurosurg. 2002;45:78–83
  27. Blair WF, Goetz DD, Ross MA, Steyers CM, Chang P. Carpal tunnel release with and without epineurotomy: a comparative prospective trial. J Hand Surg. 1996;21A:655–661
  28. Foulkes GD, Atkinson RE, Beuchel C, Doyle JR, Singer DI. Outcome following epineurotomy in carpal tunnel syndrome: a prospective, randomized clinical trial. J Hand Surg. 1994;19A:539–547
  29. Ketchum LD. A comparison of flexor tenosynovectomy, open carpal tunnel release, and open carpal tunnel release with flexor tenosynovectomy in the treatment of carpal tunnel syndrome. Plast Reconstr Surg. 2004;113:2020–2029
  30. Shum C, Parisien M, Strauch RJ, Rosenwasser MP. The role of flexor tenosynovectomy in the operative treatment of carpal tunnel syndrome. J Bone Joint Surg. 2002;84A:221–225
  31. Ting J, Weiland AJ. Role of ancillary procedures in surgical management of carpal tunnel syndrome: epineurotomy, internal neurolysis, tenosynovectomy, and tendon transfers. Hand Clin. 2002;18:315–323
  32. Bulstrode N, Bradbury A, Barrett S, Stansby G, Mansfield A, Nicolaides A, et al. Clostridium difficile colitis after aortic surgery. Eur J Vasc Endovasc Surg. 1997;14:217–220
  33. Carignan A, Allard C, Pépin J, Cossette B, Nault V, Valiquette L. Risk of Clostridium difficile infection after perioperative antibacterial prophylaxis before and during an outbreak of infection due to a hypervirulent strain. Clin Infect Dis. 2008;46:1838–1843
  34. Mondelli M, Padua L, Reale F, Signorini AM, Romano C. Outcome of surgical release among diabetics with carpal tunnel syndrome. Arch Phys Med Rehabil. 2004;85:7–13

 N.G.H. received support from Kaiser Foundation Healthplans. No benefits in any form have been received or will be received related directly or indirectly to the subject of this article.

PII: S0363-5023(09)00997-6

doi: 10.1016/j.jhsa.2009.11.012

Journal of Hand Surgery
Volume 35, Issue 2 , Pages 189-196 , February 2010