scholarly journals Ultra minimally invasive sonographically guided carpal tunnel release: An external pilot study

2014 ◽  
Vol 100 (3) ◽  
pp. 287-292 ◽  
Author(s):  
A. Capa-Grasa ◽  
J.M. Rojo-Manaute ◽  
F.C. Rodríguez ◽  
J.V. Martín
Keyword(s):  
Pilot Study ◽  
Minimally Invasive ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release

Ultra-Minimally Invasive Sonographically Guided Carpal Tunnel Release

2013 ◽  
Vol 32 (1) ◽  
pp. 131-142 ◽  
Author(s):  
Jose Manuel Rojo-Manaute ◽  
Alberto Capa-Grasa ◽  
Guillermo E. Rodríguez-Maruri ◽  
Luz M. Moran ◽  
Manuel Villanueva Martínez ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release

scholarly journals Minimally Invasive Ultrasound-Guided Carpal Tunnel Release: Preliminary Clinical Results

2018 ◽  
Vol 37 (11) ◽  
pp. 2699-2706 ◽  
Author(s):  
P. Troy Henning ◽  
Lynda Yang ◽  
Tariq Awan ◽  
Daniel Lueders ◽  
Adam M. Pourcho
Keyword(s):  
Minimally Invasive ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Clinical Results ◽  
Ultrasound Guided

scholarly journals Minimally Invasive Carpal Tunnel Release (CTR) Using the Wongsiri Technique with MiniSURE

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Sunton Wongsiri ◽  
Wongthawat Liawrungrueang
Keyword(s):  
Minimally Invasive ◽  
Return To Work ◽  
Carpal Tunnel ◽  
Endoscopic Surgery ◽  
Operative Time ◽  
Carpal Tunnel Release ◽  
Line Of Sight ◽  
Open Technique ◽  
Working Space ◽  
Carpal Tunnel Surgery

Introduction. The standard open technique for carpal tunnel surgery has wound problems and complications significantly more than minimally invasive surgery using the Wongsiri technique with MiniSURE Kit® (Surgical Innovation Healthcare Co., Ltd, Bangkok, Thailand) and in particular, the open technique surgery requires a longer time for return to work. CTR surgery with endoscopic devices improves the results with fewer wound problems when compared with the commonly used open technique; however, nerve complications and injury are more prevalent with endoscopic surgery than with the open technique. The Wongsiri technique produces good results with new medical devices such as the MiniSURE View, for improved vision and line-of-sight, and the MiniSURE Cut for improved and complete cutting via the supraretinacular technique that may reduce the nerve problems associated with endoscopic tooling in the carpal tunnel. Purpose. To evaluate the results of the operation and postoperative outcomes of the Wongsiri technique with a MiniSURE Kit®. Methods. 20 patients underwent carpal tunnel release using the Wongsiri technique and a MiniSURE Kit® with a five-step surgery: MIS starts when the surgeon makes a 1.5–1.8 cm incision, creates a working space, inserts the visual tube of MiniSURE View, inserts the freer, and then cuts the transverse carpal ligament by using the MiniSURE Cut. Results. All 20 successes of the Wongsiri technique and MiniSURE Kit® surgery occurred within 6.8 minutes operative time and a 12 mm wound size. A single outlier, in one case (6.7%), the patient experienced pillar pain which abated within one month. Patients can return to work in 7.3 days. Conclusions. The Wongsiri technique with the MiniSURE Kit® demonstrated good outcomes similar to the endoscope. By contrast with the endoscopic surgery, the Wongsiri technique with the MiniSURE Kit® reduced preop, operating, and postop time, many resources, and significant costs and resulted in no nerve problems or complications.

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

2019 ◽  
Vol 48 (1) ◽  
pp. 030006051987808
Author(s):  
José Dinis Carmo
Keyword(s):  
Surgical Treatment ◽  
Carpal Tunnel Syndrome ◽  
Surgical Technique ◽  
Minimally Invasive ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Invasive Technique ◽  
Electrodiagnostic Testing ◽  
Surgical Tool ◽  
Tunnel Syndrome

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.

scholarly journals Minimally invasive carpal tunnel surgery in leprosy

2014 ◽  
Vol 33 (01) ◽  
pp. 42-44
Author(s):  
José Marcos Pondé ◽  
Clarissa Ramos ◽  
Lazaro Santos ◽  
João Pedro Magalhaes ◽  
Ana Flavia Cavalcanti
Keyword(s):  
Developing Countries ◽  
Cost Effectiveness ◽  
Minimally Invasive ◽  
Median Nerve ◽  
Local Anesthesia ◽  
Carpal Tunnel ◽  
Surgical Approach ◽  
Carpal Tunnel Release ◽  
Nerve Involvement ◽  
Carpal Tunnel Surgery

Abstract Objective: Evaluate carpal tunnel release in leprosy. Methods: The authors operated upon 60 patients with median nerve involvement by leprosy between February 2008 and February 2012. The outpatients were under local anesthesia submitted to carpal tunnel release. Results: All the patients showed post-operative improvement in pain and sensation. Conclusion: The surgical approach is a cost effectiveness procedure adequate to developing countries.

Endoscopic Carpal Tunnel Decompression

1994 ◽  
Vol 19 (1) ◽  
pp. 5-13 ◽  
Author(s):  
M. W. H. ERDMANN
Keyword(s):  
Pilot Study ◽  
Carpal Tunnel ◽  
Endoscopic Surgery ◽  
Carpal Tunnel Release ◽  
Endoscopic Technique ◽  
Pinch Strength ◽  
Main Trial ◽  
Open Release ◽  
Prospective Pilot Study ◽  
Average Return

A study of endoscopic carpal tunnel release was carried out in three parts, consisting of initial cadaveric dissections, a prospective pilot study of 20 patients and a prospective, randomized trial of 71 patients comparing endoscopic with open decompression. In the main trial, 25 patients with bilateral symptoms underwent simultaneous endoscopic and open release, with the remainder randomized to one or other technique. Both techniques effectively decompressed the median nerve. A significant improvement in grip and pinch strength over 3 months was achieved in those undergoing endoscopic surgery. Average return to work was 14 days in the endoscopic series and 39 days in the open series. A complication rate of 35% was achieved with the transbursal endoscopic technique, 3.7% with the extrabursal endoscopic technique and 13.5% in the open series.

Concurrent Minimally Invasive Carpal Tunnel Release Techniques in Distal Radius Open Reduction Internal Fixation

2016 ◽  
Vol 21 (01) ◽  
pp. 121-124 ◽  
Author(s):  
O-Wern Low ◽  
Andre E. J. Cheah
Keyword(s):  
Minimally Invasive ◽  
Internal Fixation ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Carpal Tunnel ◽  
Open Reduction ◽  
Carpal Tunnel Release ◽  
Minimally Invasive Techniques ◽  
Radius Fractures ◽  
Invasive Techniques

Carpal tunnel syndrome is a common complication associated with distal radius fractures. Open carpal tunnel release in the same setting as open reduction and internal fixation of distal radius fractures is widely accepted. In this paper, we describe the technical details of a minimally invasive carpal tunnel release in the same setting as the fixation of a distal radius fracture via the same incision. Two options of minimally invasive techniques are described: The Knifelight® (Stryker, Kalamazoo, Michigan, USA) instrument and the single portal carpal tunnel release system (Agee, 3M Healthcare, St Paul, Minnesota, USA). Being well known and accepted techniques of carpal tunnel release, we believe that the techniques described in this paper provide a viable alternative for carpal tunnel release in the setting of distal radius fracture fixation; with the added advantages of the original minimally invasive techniques.

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