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Orthop Clin North Am. 2009 Oct;40(4):441-8, vii. doi: 10.1016/j.ocl.2009.06.002.

Minimally invasive carpal tunnel release.

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1
Department of Orthopedics, University of Roma La Sapienza - Polo Pontino, Istituto Chirurgico Ortopedico Traumatologico, via Franco Faggiana 1668, 04100 Latina, Italy. paolo.cellocco@libero.it

Abstract

We prospectively compared the safety and effectiveness of mini-incision (group A) and a limited open technique (group B) for carpal tunnel release (CTR) in 185 consecutive patients operated between November 1999 and May 2001, with a 5-year minimum follow-up. Patients in Group A had a minimally invasive approach (<2 cm incision), performed using the KnifeLight (Stryker, Kalamazoo, Michigan) instrument. Patients in Group B had a limited longitudinal incision (3-4 cm). Patient status was evaluated with an Italian modified version of the Boston Carpal Tunnel questionnaire, administered preoperatively and at 19, 30, and 60 postoperative months. Mini-incision CTR showed advantages over standard technique in early recovery, pillar pain, and recurrence rate. The recovery period after mini-incision is shorter than after standard procedure.

PMID:
19773048
DOI:
10.1016/j.ocl.2009.06.002
[Indexed for MEDLINE]
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