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

This study investigated which anatomic landmarks were most useful for correct and safe incision placement in carpal tunnel surgery. Kirschner wires were attached to the hands to mark previously defined landmarks. The bony attachments of the transverse carpal ligament, which were identified previously, were drawn on an anteroposterior digital x-ray of the hand, with the thumb in full abduction. The relationship between anatomic landmarks and these bony attachments were examined. In all hands, either the line along the third web space or the crease between the thenar and the hypothenar regions, or both, were on the ulnar half of the transverse carpal ligament. During incision placement, we recommend selecting the most ulnar choice between the line drawn along the third web space and the crease between the thenar and hypothenar regions in order to be at safe distance from the recurrent motor branch of the median nerve.

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PEDICLED HYPOTHENAR FAT FLAP FOR MEDIAN NERVE COVERAGE IN RECALCITRANT CARPAL TUNNEL SYNDROME

Hand Surgery ◽

10.1142/s0218810400000120 ◽

2000 ◽

Vol 05 (01) ◽

pp. 33-40 ◽

Cited By ~ 49

Author(s):

Ch. Mathoulin ◽

J. Bahm ◽

S. Roukoz

Keyword(s):

Carpal Tunnel Syndrome ◽

Median Nerve ◽

Carpal Tunnel ◽

Anatomical Study ◽

Ulnar Artery ◽

Transverse Carpal Ligament ◽

Carpal Tunnel Surgery ◽

Tunnel Syndrome ◽

Normal Nerve Conduction

We report the use of a hypothenar pedicled fat flap to cover the median nerve in recalcitrant carpal tunnel syndrome. Forty-five patients with recurrent symptoms after previous carpal tunnel surgery were included in this study. Patients with incomplete release of the transverse carpal ligament were not included. We performed an anatomical study on 30 cadavers. The original technique with the section of the deep branch of ulnar artery was modified. The flap could be transferred onto the median nerve without stretching. The median follow-up was 45 months (range, 12–80 months). Pain completely disappeared in 41 patients with normal nerve conduction. Based on clinical and electromyographic signs, the global results showed excellent results (49%), 19 good results (45%), two average results (4.5%) and two failures (2%). The use of a hypothenar pedicled fat flap to cover the median nerve in recalcitrant carpal tunnel syndrome is a simple and efficient technique which improves the trophic environment of the median nerve and relieves pain.

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Effects of simple section of transverse carpal ligament on intercarpal stability in carpal tunnel surgery

Medicine Science | International Medical Journal ◽

10.5455/medscience.2016.05.8579 ◽

2017 ◽

pp. 1

Author(s):

Hakan Gurbuz ◽

Suleyman Dedeoglu ◽

Yunus Imren ◽

Ali Tekin ◽

Mustafa Kir ◽

...

Keyword(s):

Carpal Tunnel ◽

Transverse Carpal Ligament ◽

Carpal Tunnel Surgery

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Complications of open carpal tunnel surgery: avoiding the pitfalls

European Journal of Orthopaedic Surgery & Traumatology ◽

10.1007/s00590-008-0368-8 ◽

2008 ◽

Vol 19 (1) ◽

pp. 11-17 ◽

Cited By ~ 3

Author(s):

Andreas F. Mavrogenis ◽

Panayiotis J. Papagelopoulos ◽

Ioannis A. Ignatiadis ◽

Sarantis G. Spyridonos ◽

Dimitrios G. Efstathopoulos

Keyword(s):

Carpal Tunnel ◽

Carpal Tunnel Surgery ◽

Open Carpal Tunnel Surgery

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Is Main Operating Room Sterility Really Necessary in Carpal Tunnel Surgery? A Multicenter Prospective Study of Minor Procedure Room Field Sterility Surgery

Hand ◽

10.1007/s11552-010-9301-9 ◽

2010 ◽

Vol 6 (1) ◽

pp. 60-63 ◽

Cited By ~ 57

Author(s):

Martin R. LeBlanc ◽

Donald H. Lalonde ◽

Achilleas Thoma ◽

Mike Bell ◽

Neil Wells ◽

...

Keyword(s):

Prospective Study ◽

Operating Room ◽

Carpal Tunnel ◽

Carpal Tunnel Surgery ◽

Main Operating Room ◽

Multicenter Prospective Study ◽

Main Operating ◽

Minor Procedure ◽

Procedure Room

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Reducing the Pain Associated with Local Anaesthetic Infiltration for open Carpal Tunnel Decompression

Journal of Hand Surgery (European Volume) ◽

10.1016/j.jhsb.2003.12.009 ◽

2004 ◽

Vol 29 (4) ◽

pp. 399-401 ◽

Cited By ~ 32

Author(s):

I. C. VOSSINAKIS ◽

P. STAVROULAKI ◽

I. PALEOCHORLIDIS ◽

L. S. BADRAS

Keyword(s):

Visual Analogue Scale ◽

Adverse Effects ◽

Carpal Tunnel ◽

Local Anaesthetic ◽

Analogue Scale ◽

Randomized Study ◽

The Other ◽

Quick Method ◽

Carpal Tunnel Surgery ◽

Open Carpal Tunnel Surgery

This prospective, randomized study assessed the effectiveness of buffering lidocaine with sodium bicarbonate for reducing the pain associated with local anaesthetic infiltration for open carpal tunnel decompression. Twenty-one patients undergoing bilateral open carpal tunnel decompression received, in a randomized manner, lidocaine 1% with adrenaline (1:200,000) in one hand and the same local anaesthetic buffered with 8.4% NaHCO3 at a 5:1 ratio in the other hand. Pain, especially its burning element, was evaluated on a visual analogue scale and was significantly reduced with the buffered solution. The buffering was effective for all patients and no adverse effects were noted. This is a safe, easy and quick method for making open carpal tunnel surgery less uncomfortable to patients.

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