Modified Camitz versus BRAND Procedures for the Treatment of Severe Carpal Tunnel Syndrome: A Comparative Trial Study

Abstract

Background: Carpal tunnel syndrome (CTS) is characterized by complications such as pain, paresthesia, and<br />numbness in the fingers. There are some surgical therapies for the management of severe carpal tunnel, but differences<br />exist between the treatments available for creating the opposition. The current study was conducted to compare the<br />effect of modified Camitz and BRAND techniques on thumb opposition in patients with severe CTS.<br />Methods: A total of 40 patients with severe CTS who were candidates for opponensplasty were enrolled in this clinical<br />trial study at Alzahra and Kashani hospitals, Isfahan, Iran, from 2014 to 2018. The patients were divided into two groups<br />of modified Camitz and BRAND. Quick DASH-9 and Kapandji scores as well as pulp and side pinch and pronation<br />angle were assessed before and after the surgeries.<br />Results: Quick DASH-9 score, Kapandji score, pulp and side pinch and pronation angle significantly improved postoperatively<br />(P=0.0XXX, P=0.0XXX, P=0.0XXX, P=0.0XXX, and P=0.0XXX, respectively). But, no significant differences<br />were seen in the mentioned variables between both groups pre and post-operative (P>0.05, for all the studied variables).<br />No postsurgical complications were seen in any of the groups.<br />Conclusion: The findings of the present study demonstrated that, both Modified Camitz and BRAND techniques<br />are effective and safe techniques, yielding high improvements, but no serious complications. Both techniques can be<br />considered for treatment of patients with severe CTS.<br />Level of evidence: II