<?xml version="1.0" encoding="utf-8"?>
			<journal>
			<title>The Archives of Bone and Joint Surgery</title>
			<title_fa></title_fa>
			<short_title>ABJS</short_title>
			<subject>Medical Sciences</subject>
			<web_url>https://abjs.mums.ac.ir/</web_url>
			<journal_hbi_system_id>0</journal_hbi_system_id>
			<journal_hbi_system_user></journal_hbi_system_user>
			<journal_id_issn>2345-4644</journal_id_issn>
			<journal_id_issn_online>2345-461X</journal_id_issn_online>
			<journal_id_pii></journal_id_pii>
			<journal_id_doi></journal_id_doi>
			<journal_id_iranmedex></journal_id_iranmedex>
			<journal_id_magiran></journal_id_magiran>
			<journal_id_sid></journal_id_sid>
			<journal_id_nlai></journal_id_nlai>
			<journal_id_science></journal_id_science>
			<language>en</language>
			<pubdate>
				<type>jalali</type>
				<year></year>
				<month></month>
				<day>1</day>
			</pubdate>
			<pubdate>
				<type>gregorian</type>
				<year></year>
				<month></month>
				<day>1</day>
			</pubdate>
			<volume></volume>
			<number></number>
			<publish_type>online</publish_type>
			<publish_edition>1</publish_edition>
			<article_type>fulltext</article_type>
			<articleset><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Drain Use in Bilateral Carpal Tunnel Release: A Randomized Clinical Trial on Efficacy and Patient Satisfaction</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>RESEARCH PAPER</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Objective: To investigate the efficacy of drain use and its impact on clinical outcomes and patient satisfaction in bilateral carpal tunnel release (CTR).Methods: In a randomized clinical trial, 41 patients (82 hands) with moderate-to-severe bilateral carpal tunnel syndrome (CTS) underwent open CTR in 2022. One hand was randomly assigned a Penrose drain, while the contralateral hand served as a control. The primary outcome was patient satisfaction at 16 weeks post-surgery, with secondary outcomes including pain (VAS), grip strength, wound healing, and pillar pain, which were assessed at baseline, three days, three weeks, and 16 weeks post-surgery.Results: Wound healing (P=0.85), pain (P=0.48), pulp pinch strength (P=0.73), and pillar pain (P=0.28) showed no significant differences between groups. However, palmar grip strength showed a significant difference in improvement between groups (P=0.028), favoring the non-drain group. Satisfaction was significantly lower with drains (P&lt;0.001), and functional status (BCTQ-FSS) improved more without drains (P&lt;0.001).Conclusion: Drain use in bilateral CTR provides no clinical benefit and reduces patient satisfaction, the primary outcome of this study, suggesting its routine use is unwarranted.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Keywords: Bilateral carpal tunnel syndrome, CTR, Penrose drain, Patient Satisfaction, randomized trial</keyword>
				<start_page>0</start_page>
				<end_page>0</end_page>
				<web_url>https://abjs.mums.ac.ir/article_26895.html</web_url>
			<author_list><author>
				<first_name>Abbas</first_name>
				<middle_name></middle_name>
				<last_name>Abdoli Tafti</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>aabdoli2000@yahoo.com</email>
				<code>118072</code>
				<coreauthor>No</coreauthor>
				<affiliation>Trauma Research Center, Department of orthopedics, Shahid Sadoughi hospital, school of medicine , Shahid Sadoughi University of Medical Sciences, Yazd, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Hamidreza</first_name>
				<middle_name></middle_name>
				<last_name>Farhadirad</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>hamidrezafr1378@gmail.com</email>
				<code>118073</code>
				<coreauthor>No</coreauthor>
				<affiliation>Student Research Committee, Jiroft University of Medical Sciences, Jiroft, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mohammadreza</first_name>
				<middle_name></middle_name>
				<last_name>Farhadirad</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>mohammadrfr1374@gmail.com</email>
				<code>118074</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Orthopedic Surgery, Trauma Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Seyed Houssein</first_name>
				<middle_name></middle_name>
				<last_name>Saeed-Banadaky</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>h.saeed.d@gmail.com</email>
				<code>118075</code>
				<coreauthor>No</coreauthor>
				<affiliation>Yazd Trauma Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Milad</first_name>
				<middle_name></middle_name>
				<last_name>Gholizadeh</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>miladghz15255@gmail.com</email>
				<code>118076</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of Orthopedic Surgery, Trauma Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Parnia</first_name>
				<middle_name></middle_name>
				<last_name>Farhadirad</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>parniafr1380@gmail.com</email>
				<code>118077</code>
				<coreauthor>No</coreauthor>
				<affiliation>Student Research Committee, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article>
			</articleset>
			</journal>