Neurolysis of the Median Nerve to the Carpal Canal by the Way Mini-Open: Review of 68 Files at Brazzaville University Hospital
| Autor: | Monka Marius, Lamini Norbert, Boukassa Léon, Ondélé Ngatsé, Ntsiba Honoré, Massouama Regis, Bileckot Richard, Massamba Miabaou Didace |
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| Rok vydání: | 2017 |
| Předmět: |
030203 arthritis & rheumatology
Mini open medicine.medical_specialty Heel business.industry medicine.disease Median nerve Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure 030202 anesthesiology Ligament Medicine Carpal tunnel business Prospective cohort study Carpal tunnel syndrome Neurolysis |
| Zdroj: | Surgical Science. :510-518 |
| ISSN: | 2157-9415 2157-9407 |
| DOI: | 10.4236/ss.2017.812057 |
| Popis: | Objective: To evaluate the results of neurolysis of the median nerve to the carpal tunnel in patients operated by the mini-open technique. Methods: The prospective study included 68 patients (16 men and 52 women) aged 43 to 80 years (mean age: 64 years). Patients were evaluated in pre- and post-operative by a questionnaire. The mini open technique with cutaneous approach to the heel of the hand following the 4th ray was performed in all patients under local, locoregional or general anesthesia. Results: The results were evaluated in 3 consultations, in the 1st, 3rd and 6th month. We obtained very good results in 54.4% of the cases (n = 37) and 30.9% (n = 21) of good results and 14.70% (n = 10) of poor results. No vascular, tendinous or neurological complications were noted. Two patients were reoperated for incomplete resection of the carpal ring ligament. The mini-open technique has achieved good results in all neurolysis despite the delay in surgical management. Conclusion: The results of the surgical treatment of the carpal tunnel syndrome depend on the precocity of the diagnosis and the surgical indication. |
| Databáze: | OpenAIRE |
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