Percutaneous Carpal Tunnel Release Using Curved Hemostat and Meniscectomy Hook Knife.
10.4055/jkoa.2004.39.7.819
- Author:
Yang Guk CHUNG
1
;
Yang Soo KIM
;
Jung Man KIM
;
Dong Hui KIM
;
Seung Woog CHOI
;
Seung Jun KIM
Author Information
1. Department of Orthopedic Surgery, Kangnam St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. osjmk@korea.com
- Publication Type:Original Article
- Keywords:
Carpal tunnel syndrome;
Percutaneous carpal tunnel release;
Curved hemostat;
Meniscectomy hook knife
- MeSH:
Carpal Tunnel Syndrome;
Follow-Up Studies;
Humans;
Kidney Failure, Chronic;
Pain, Postoperative;
Retrospective Studies;
Wrist
- From:The Journal of the Korean Orthopaedic Association
2004;39(7):819-824
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The aims of this study were to introduce a method of percutaneous carpal tunnel release and report the results of our experience. MATERIALS AND METHODS: A percutaneous carpal tunnel release was performed using a curved hemostat and a meniscectomy hook knife through a small transverse incision at the proximal wrist crease. Among 125 cases from 81 patients, 91 wrists from 58 patients were evaluated retrospectively in terms of the symptomatic resolution and complications. The mean follow up period was 38.9 months ranging from 12 to 118 months. RESULTS: All but one cases (99%) showed a complete symptomatic resolution or a marked improvement postoperatively, and 94.5% of cases were satisfied with the final result. Two patients had a second operation, one chronic renal failure patient showed recurrent symptoms after an initial improvement and the other showed persistent symptoms. There were two superficial palmar arch injuries and one digital nerve injury. However two of them were the earliest cases of an inexperienced surgeons. CONCLUSION: When an experienced surgeon performs a percutaneous carpal tunnel release meticulously, it is a safe and reliable method with the benefits of less postoperative pain and an early recovery.
