Decompression effect after Carpal Tunnel Release using the Limited Proximal One-incision Technique.
10.4055/jkoa.2003.38.2.189
- Author:
Jae Yeul CHOI
1
;
Hun Kyu SHIN
;
Chi Uk HONG
Author Information
1. Department of Orthopaedic Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. Hipop@samsung.com
- Publication Type:Original Article
- Keywords:
Carpal tunnel syndrome;
Carpal tunnel release;
Limited proximal one-incision;
Decompression effect
- MeSH:
Carpal Tunnel Syndrome;
Decompression*;
Discrimination (Psychology);
Follow-Up Studies;
Hand;
Humans;
Paresthesia;
Patient Satisfaction
- From:The Journal of the Korean Orthopaedic Association
2003;38(2):189-192
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Carpal tunnel decompression using the limited one incision technique in carpal tunnel syndrome is difficult to evaluate in terms of postoperative improvement and complications. We analyzed the clinical efficacy by defining the effect of decompression after carpal tunnel release using the modified limited proximal one-incision technique. MATERIALS AND METHOD: Symptoms and signs (pain, paresthesia, Phalen test and Tinel sign) were analyzed in 35 patients, 63 hands, which were followed up for a year or more, among patients who had been operated upon using the limited proximal one-incision technique from January, 1994 to June, 1999. RESULT: Pain was relieved two weeks after the operation. Paresthesia, two-point discrimination, Phalen test, and Tinel sign improved progressively postoperativley. According to the Cseuz criteria, 53 hands (84%) were estimated to degreesgood "12 months after operation. CONCLUSION: The carpal tunnel can be released using a limited proximal one-incision technique, has few complications and produces results comparable with standard classical decompression or the endoscopic carpal tunnel release. Patient satisfaction was good at 12 months postoperatively. We suggest that carpal tunnel syndrome requires long-term follow-up and analysis.
