{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T19:48:51Z","timestamp":1771962531861,"version":"3.50.1"},"reference-count":27,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2022,5,5]],"date-time":"2022-05-05T00:00:00Z","timestamp":1651708800000},"content-version":"vor","delay-in-days":2561,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2015,5]]},"abstract":"<jats:p>Open release remains the gold standard in the treatment of carpal tunnel syndrome in cases where conservative treatment fails. However, the efficacy of carpal tunnel release in the elderly has been debated in the literature throughout the years. This review aims to review the current evidence pertaining to the efficacy of carpal tunnel release in the elderly. Based on the current evidence, the outcome of carpal tunnel release is unpredictable in the elderly. Elderly patients are also less satisfied with the operation compared to younger patients. The authors recommend that these messages be conveyed to elderly patients before surgery. Moreover, open carpal tunnel release should be offered in the early stages of treatment whenever operative management is indicated.<\/jats:p>","DOI":"10.5999\/aps.2015.42.3.278","type":"journal-article","created":{"date-parts":[[2015,5,19]],"date-time":"2015-05-19T13:05:10Z","timestamp":1432040710000},"page":"278-281","source":"Crossref","is-referenced-by-count":18,"title":["Does Aging Matter? 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Surg"},{"key":"ref4","first-page":"217","article-title":"Carpal tunnel syndrome in the elderly: \"Beware of severe cases\"","volume":"10","author":"P Seror","year":"1991","journal-title":"Ann Chir Main Memb Super"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1016\/S0363-5023(98)80058-0","article-title":"Maine Carpal Tunnel Study: outcomes of operative and nonoperative therapy for carpal tunnel syndrome in a community-based cohort","volume":"23","author":"JN Katz","year":"1998","journal-title":"J Hand Surg Am"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1111\/j.1529-8027.2000.00026.x","article-title":"Influence of aging on peripheral nerve function and regeneration","volume":"5","author":"E Verdu","year":"2000","journal-title":"J Peripher Nerv Syst"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"1335","DOI":"10.1007\/s00701-014-2065-1","article-title":"Age delays the recovery of distal motor latency after carpal tunnel 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