Does Endoscopic Carpal Tunnel Release have a Higher Rate of Complications than Open Carpal Tunnel Release?

Autor: BOECKSTYNS, M. E. H., SRENSEN, A. I.
Zdroj: Journal of Hand Surgery (17531934); Feb1999, Vol. 24 Issue 1, p9-15, 7p
Abstrakt: The purpose of this study was to evaluate the reported rate of complications after endoscopic carpal tunnel release by means of an analysis of 54 publications, reporting a total of 9516 endoscopic and 1203 open releases. Endoscopic release was comparable to open release in the rate of irreversible nerve damage (0.3% and 0.2% respectively) but case reports may indicate a small risk of unacceptable complications with endoscopy, such as transection of the median nerve. Reversible nerve problems were more common after endoscopic release. Tendon lesions were extremely rare (0.03%) and the rate of other complications (reflex sympathetic dystrophy, haematoma, wound problems, etc.) was about the same with endoscopic as with open release. [ABSTRACT FROM PUBLISHER]
Databáze: Complementary Index