Endoscopic release of the carpal tunnel: a randomized prospective multicenter study
| Autor: | H. R. McCarroll, Robert M. Szabo, John M. Agee, R. D. Tortosa, Donald A. Berry, C. A. Peimer |
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| Rok vydání: | 1992 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Work Time Factors Carpal tunnel surgery Wrist Postoperative Complications Activities of Daily Living medicine Fiber Optic Technology Humans Orthopedics and Sports Medicine Carpal tunnel Prospective Studies Carpal tunnel syndrome Prospective cohort study Endoscopes medicine.diagnostic_test business.industry Videotape Recording Endoscopy musculoskeletal system medicine.disease Carpal Tunnel Syndrome Endoscopic carpal tunnel release Surgery medicine.anatomical_structure Upper limb business |
| Zdroj: | The Journal of hand surgery. 17(6) |
| ISSN: | 0363-5023 |
| Popis: | A 10-center randomized prospective multicenter study of endoscopic release of the carpal tunnel was carried out. Surgery was performed with a new device for transecting the transverse carpal ligament while control hands were treated with conventional open surgery. There were 122 patients in the study; 25 had carpal tunnel surgery on both hands and 97 had surgery on one hand. Of the surgical procedures, 65 were in the control group and 82 were in the device group. The endoscopic device was coupled to a fiberoptic light and a video camera. A trigger-activated blade was used to incise the transverse carpal ligament. After surgery, the best predictors of return to work and to activities of daily living were strength and tenderness variables. For patients in the device group with one affected hand, the median time for return to work was 21 1/2 days less than that for the control group. Two patients treated with the endoscopic device required reoperation by open surgical decompression; only one of these had incomplete release with the device. Two patients in the device group experienced transient ulnar neurapraxia. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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