In a clinical, retrospectively randomised study, we compared the results of the operation for a carpal tunnel syndrome when one side only or both sides were simultaneously assessed in one session. Of the 125 patients examined, 47.2% had both hands operated on in one session, 52.8% had only one hand operated on in one session or both hands in two sessions. We found the bilateral simultaneous operation to be associated with better results concerning earlier return to work, earlier relief of symptoms and better patient satisfaction than the operation on one side only. These are explained by the necessity of using both hands for daily activities and thus a guaranteed functional follow-up treatment after the bilateral operation. In conclusion, we propose operating on both hands simultaneously whenever possible, even if the opposite hand presents with only a slight CTS, which would otherwise not be considered for operation yet.
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