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Original article

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Effectiveness of ActiPatch in the management and prevention of pillar pain following open carpal tunnel release surgery in weight-bearing hand of elderly patients: an observational study

By
Giulia Maria Sassara Orcid logo ,
Giulia Maria Sassara

Department of Orthopaedics, Fondazione Policlinico Universitario A. Gemelli IRCCS , Rome , Italy

Adriano Cannella ,
Adriano Cannella

Department of Orthopaedics, Fondazione Policlinico Universitario A. Gemelli IRCCS , Rome , Italy

Ludovico Caruso ,
Ludovico Caruso

Department of Orthopaedics, Fondazione Policlinico Universitario A. Gemelli IRCCS , Rome , Italy

Giuseppe Taccardo ,
Giuseppe Taccardo

Department of Orthopaedics, Fondazione Policlinico Universitario A. Gemelli IRCCS , Rome , Italy

Marco Passiatore ,
Marco Passiatore

Bone and Joint Surgery Department, University of Brescia, ASST - Spedali Civili , Brescia , Italy

Arturo Militerno ,
Arturo Militerno

Department of Orthopaedics, Fondazione Policlinico Universitario A. Gemelli IRCCS , Rome , Italy

Maurizio Marinangeli ,
Maurizio Marinangeli

Department of Orthopaedics, Fondazione Policlinico Universitario A. Gemelli IRCCS , Rome , Italy

Rocco De Vitis Orcid logo
Rocco De Vitis
Contact Rocco De Vitis

Department of Orthopaedics, Fondazione Policlinico Universitario A. Gemelli IRCCS , Rome , Italy

Abstract

Aim To confirm the effectiveness of the ActiPatch device in treating and preventing pillar pain following open carpal tunnel release surgery.
Methods Ten elderly patients with pillar pain after carpal tunnel release surgery were treated with ActiPatch for seven days. When these patients underwent surgery on the opposite hand, they were pre-emptively treated with ActiPatch to prevent pillar pain. Pain was measured using the Visual Analog Scale (VAS), functionality was assessed using the Quick Disability of the Arm, Shoulder and Hand (QuickDASH) and Michigan Hand Questionnaire (MHQ) scoring systems, and patient satisfaction was evaluated. 
Results All patients showed an improvement in pain level and functional capacity after using ActiPatch for pillar pain management. Additionally, none of the patients experienced pillar pain during the subsequent preventive phase. 
Conclusion The use of ActiPatch proves to be a viable and effective approach for managing and preventing pillar pain in elderly patients with weight-bearing hands who have undergone carpal tunnel release surgery.

Author Contributions

Writing – original draft, G.M.S. and A.C.; Data curation, A.C., L.C., A.M., M.M. and R.D.V.; Formal Analysis, A.C., L.C., A.M., M.M. and R.D.V.; Software, A.C.; Writing – review & editing, G.T., M.P. and R.D.V.; Conceptualization, R.D.V.; Investigation, R.D.V.; Methodology, R.D.V.; Supervision, R.D.V. All authors have read and agreed to the published version of the manuscript.

Citation

Funding Statement

No specific funding was received for this study

Authors retain copyright. This work is licensed under a Creative Commons Attribution 4.0 International License. Creative Commons License

 

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