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Journal of Hand Surgery (European Volume)
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Articles

Reducing the economic impact of carpal tunnel surgery

A. MALLICK
M. CLARKE
S. WILSON
M. L. NEWEY

From the Department of Orthopaedics, Leicester General Hospital, University Hospitals Leicester, UK

Correspondence: Mr M.L. Newey, Consultant Orthopaedic Surgeon, Leicester General Hospital, Gwendolen Road, Leicester, LE5 4PW, UK. Tel.: +44 (0)116 258 4591. E-mail:martyn.newey{at}uhl-tr.nhs.uk.

A nurse-led carpal tunnel service was started in Leicester in 1999. Many developments in the service have been patient-driven. A large proportion of our patients are not salaried and many had expressed concerns about the amount of time taken off work after surgery. This therefore prompted us to encourage immediate hand function after surgery. Subsequently, in 494 patients studied prospectively, we have seen 93% of patients return to work by 2 weeks and 99% by 4 weeks. This has obvious benefits in terms of reducing loss of income. Furthermore there is potential for considerable economic savings.

Key Words: carpal tunnel syndrome • carpal tunnel decompression • return to work • nurse-led service

This version was published on October 1, 2009

Journal of Hand Surgery (European Volume), Vol. 34, No. 5, 679-681 (2009)
DOI: 10.1177/1753193409105578
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