The Canaletto®™ implant for reconstructing transverse carpal ligament in carpal tunnel surgery. Surgical technique and cohort prospective study about 400 Canaletto cases versus 400 cases with open carpal tunnel surgery

Duche, R.; Trabelsi, A.

doi:10.1016/j.main.2010.10.001

Cited by 14 publications

(7 citation statements)

References 38 publications

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“…Of these, three non-hierarchical categories were identified based on the method of RTW data collection: 1) regional/national databases (14, 27, 31); 2) patient reported questionnaires or telephone interviews (15–17, 22, 25, 29, 37, 40, 42, 48–50, 52, 60, 68); and 3) medical records. For the latter, RTW information was either recorded during clinical assessment (18, 20, 30, 35, 39, 44, 47, 51, 53, 63, 69) or was extracted retrospectively from the records (24, 38, 54, 56–58, 65).…”

Section: Resultsmentioning

confidence: 99%

Sickness absence after carpal tunnel release: a systematic review of the literature

Newington¹,

Stevens²,

Warwick³

et al. 2018

Scand J Work Environ Health

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Objectives The aim of this systematic review was to provide an overview of time to return to work (RTW) after carpal tunnel release (CTR), including return to different occupations and working patterns. Methods A systematic search from inception to 2016 was conducted using nine electronic databases, trial registries and grey literature repositories. Randomized controlled trials and observational studies reporting RTW times after CTR were included. Study risk of bias was assessed using Cochrane risk of bias assessment tools. Time to RTW was summarized using median and range. Results A total of 56 relevant studies were identified: 18 randomized controlled trials and 38 observational studies. Only 4 studies were rated as having a low risk of bias. Reported RTW times ranged from 4-168 days. Few studies reported occupational information. Among 6 studies, median time to return to non-manual work was 21 days (range 7-41), compared with 39 days for manual work (range 18-101). Median time to return to modified or full duties was 23 days (ranges 12-50 and 17-64, respectively), as reported by 3 studies. There was no common method of defining, collecting or reporting RTW data. Conclusions This review highlights wide variation in reported RTW times after CTR. Whilst occupational factors may play a role, these were poorly reported, and there is currently limited evidence to inform individual patients of their expected duration of work absence after CTR. A standardized definition of RTW is needed, as well as an agreed method of collecting and reporting related data.

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Section: Resultsmentioning

confidence: 99%

Sickness absence after carpal tunnel release: a systematic review of the literature

Newington¹,

Stevens²,

Warwick³

et al. 2018

Scand J Work Environ Health

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“…Jakab et al[7] divided FR in step-wise fashion and reviewed 73 patients (104 hands), 93% obtained complete relief of symptoms with a minimum follow up of 2 years. Duché et al[35] implanted Canaletto (Eurymed, France) for reconstructing FR. In this prospective cohort study, FRR with this novel implant showed advantages over open CTR concerning of the rapidity of strength recovery and the quality of subjective sensory recovery.…”

Section: Discussionmentioning

confidence: 99%

Carpal tunnel release with versus without flexor retinaculum reconstruction for carpal tunnel syndrome at short- and long-term follow up—A meta-analysis of randomized controlled trials

Lai

Zhang

et al. 2019

PLoS ONE

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BackgroundCarpal tunnel syndrome is a common neuropathy disorder for which surgical treatment consists of release and reconstruction of the flexor retinaculum. Reports of postoperative clinical outcomes after carpal tunnel release with or without flexor retinaculum reconstruction in several studies are controversial. This meta-analysis aimed to compare the efficacy and safety of carpal tunnel release with or without flexor retinaculum reconstruction.MethodsThe PubMed, EMBASE, Web of Science, Ovid, Cochrane Library and Clinical Tri Org databases were searched for randomized controlled trials that compared carpal release with and without transverse carpal ligament reconstruction for carpal tunnel syndrome. Outcomes included postoperative Boston Carpal Tunnel Questionnaire Symptom Severity Scale (SSS), Functional Status Scale (FSS), grip strength and complications. The follow-up time was categorized into short-term (0-3mon) and long-term(>3mon).ResultsA total of 7 studies with 613 patients met the inclusion criteria and were analyzed in detail. Statistical analysis showed no significant difference between two groups on postoperative long-term grip strength (MD 5.85, 95% CI -1.05 to 12.76) long-term SSS (MD -0.31, 95% CI -0.75 to 0.13) and occurrence of complications (RR 1.14, 95% CI 0.84 to 1.54), whereas statistically significant difference was found between groups regarding short-term grip strength (MD 1.51, 95% CI 0.86 to 2.17) and long-term FSS (MD -0.34, 95% CI -0.47 to -0.21).ConclusionCarpal tunnel release with flexor retinaculum reconstruction for carpal tunnel syndrome may result in improved long-term functional status while there’s no advantage regarding grip strength, symptom severity and safety over individual carpal tunnel release in short- and long-term outcomes.

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“…Two groups of 400 patients were compared, and the group with the implant was found to have faster recovery of strength. 33 Five implants had to be removed. Transfer of thumb opposition (Camitz technique): 34 in atrophic forms with a deficit of opposition, it is possible to simultaneously perform release of the median nerve and transfer of opposition.…”

Section: Treatmentmentioning

confidence: 99%

“…Two groups of 400 patients were compared, and the group with the implant was found to have faster recovery of strength. 33 Five implants had to be removed.…”

Section: Treatmentmentioning

confidence: 99%

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Carpal tunnel syndrome – Part II (treatment)

Chammas¹,

Boretto

Burmann

et al. 2014

Revista Brasileira de Ortopedia (English Edition)

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The treatments for non-deficit forms of carpal tunnel syndrome (CTS) are corticoid infiltration and/or a nighttime immobilization brace. Surgical treatment, which includes sectioning the retinaculum of the flexors (retinaculotomy), is indicated in cases of resistance to conservative treatment in deficit forms or, more frequently, in acute forms. In minimally invasive techniques (endoscopy and mini-open), and even though the learning curve is longer, it seems that functional recovery occurs earlier than in the classical surgery, but with identical long-term results. The choice depends on the surgeon, patient, severity, etiology and availability of material. The results are satisfactory in close to 90% of the cases. Recovery of strength requires four to six months after regression of the pain of pillar pain type. This surgery has the reputation of being benign and has a complication rate of 0.2–0.5%.

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The Canaletto®™ implant for reconstructing transverse carpal ligament in carpal tunnel surgery. Surgical technique and cohort prospective study about 400 Canaletto cases versus 400 cases with open carpal tunnel surgery

Cited by 14 publications

References 38 publications

Sickness absence after carpal tunnel release: a systematic review of the literature

Sickness absence after carpal tunnel release: a systematic review of the literature

Carpal tunnel release with versus without flexor retinaculum reconstruction for carpal tunnel syndrome at short- and long-term follow up—A meta-analysis of randomized controlled trials

Carpal tunnel syndrome – Part II (treatment)

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