The Mini-Invasive Technique for Carpal Tunnel Release: Open Approach with Converse Fiberoptic Light Retractor

Giuseppe, P. Di

doi:10.1007/978-3-540-49008-1_19

Cited by 1 publication

(3 citation statements)

References 10 publications

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“…A steep learning curve 10,45 increased the technical difficulties, 13,21,28,32,33,50 and potentially devastating complications have been reported with endoscopic techniques. 1,5,13,18,21,27,28,51 A variety of limited-open or mini-open techniques using multiple devices, 4,26,[52][53][54][55] or no special devices, [56][57][58][59] have not yet undergone the intense scrutiny given to more established endoscopic carpal tunnel-release techniques, and that complications and learning curves associated with these techniques should be studied further before they are put to wider use. 10 In the present article, a new technique for carpal tunnel release is reported for the first time in a peer reviewed journal.…”

Section: Discussionmentioning

confidence: 99%

“…A steep learning curve 10,45 increased the technical difficulties, 13,21,28,32,33,50 and potentially devastating complications have been reported with endoscopic techniques. 1,5,13,18,21,27,28,51 A variety of limited-open or mini-open techniques using multiple devices, 4,26,52–55 or no special devices, 56–59 also aimed to improve results of the classic open technique by decreasing the incision size, however, some of those devices have been withdrawn from the market. Reports concerning limited-open or mini-open techniques are far less numerous than those concerning endoscopic techniques.…”

Section: Discussionmentioning

confidence: 99%

“…A variety of limited-open or mini-open techniques using multiple devices,4,26,[52][53][54][55] or no special devices,[56][57][58][59] also aimed to improve results of the classic open technique by decreasing the incision size, however, some of those devices have been withdrawn from the market. Reports concerning limited-open or mini-open techniques are far less numerous than those concerning endoscopic techniques.…”

mentioning

confidence: 99%

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‘INSIGHT-PRECISION’: a new, mini-invasive technique for the surgical treatment of carpal tunnel syndrome

Carmo¹

2019

J Int Med Res

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Objective To describe a new mini-invasive surgical technique for carpal tunnel release and to present clinical findings associated with using this technique. Methods Patients with idiopathic carpal tunnel syndrome without prior surgical treatment, who underwent a new minimally-invasive surgical technique using a specific surgical tool-kit developed by the author, were included. Prospective data were collected, including preoperative electrodiagnostic testing. The subjective condition of all patients was evaluated pre- and postoperatively with a five-level Likert-type scale (LS) and muscular strength was tested using a JAMAR dynamometer and pinch gauge. Results A total of 116 patients (157 hands/cases) underwent surgery performed by the author, and were followed for a mean of 40 months (range, 6 months–7 years). Of these, preoperative electrodiagnostic testing was performed in 112 patients (96.6%). No significant complications were reported. By three months, patients reported that they were satisfied or very satisfied in 147/149 cases (98.7%; LS grade I and II). Strength recovery at three months, based on the average of four measures, was 99.17% (range, 97.43–100.97%). Conclusions The described technique is minimally invasive, safe and simple to perform, and provides good results.

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Section: Discussionmentioning

confidence: 99%

“…A steep learning curve 10,45 increased the technical difficulties, 13,21,28,32,33,50 and potentially devastating complications have been reported with endoscopic techniques. 1,5,13,18,21,27,28,51 A variety of limited-open or mini-open techniques using multiple devices, 4,26,52–55 or no special devices, 56–59 also aimed to improve results of the classic open technique by decreasing the incision size, however, some of those devices have been withdrawn from the market. Reports concerning limited-open or mini-open techniques are far less numerous than those concerning endoscopic techniques.…”

Section: Discussionmentioning

confidence: 99%